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vagus cosmetics INSTITUTE OF HAIR TRANSPLANT SURGERIES & HAIR FALL SOLUTIONS WWW.VAGUSCOSMETICS.COM | WWW.DRRANAIRFAN.COM

DR RANA IRFAN

“ P R O F I L E “

MD. MBBS. PAK

Diplomat American Board of Hair Restoration of Surgery (ABHRS)

Fellow of American College of Surgeons.

FACS (USA) Member of International Society of Hair Restoration Surgery. MISHRS (USA)

Member of American Society of Hair Restoration Surgery. MASHRS (USA)

Member of European Society of Hair Restoration Surgery.

MESHRS (FRANCE) ACLS Certified.

BLS Certified.

Dr Rana Irfan is known through out the world for his artistic work and professionalism.

He has been doing Hair Restoration Surgery for last 15 years about 30’000 Surgeries of 20’000 Patients are to his Credit. He has been invited by almost all the European Countries every year to deliver the lecture and to educate the Doctors for the new evolutions and techniques.

He is Pioneer in F.U.E technique in the South Asian region and still the only one doing this technique in the region. He is among the top few doctors of the world who have been known for their artistic work and professionalism in the Hair Restoration Surgeries and so are popular in the whole world.

Your

Lifestyle Destination

Vagus

state of the art

Institute of Hair Transplant, Laser & Cosmetic Surgeries

27-Kaghan Road, F-8/3, Islamabad, Pakistan, Phone # +92-51-2287661-2 www.drranairfan.com ~ www.vaguscosmetics.com Info@vaguscosmetics.com ~ fb.com/SurgeonRanaIrfan

Naturally Growing Hair by new technique

F.U.E Hair Transplant without surgery

A painless procedure without any cut.

Our other Services Digital Liposuction None Invasive Lipolysis Laser Lipo (New in Pakistan) Tummy Tuck Fat Reduction Club Nutritionist Nose Reshaping Lip Reshaping Male Breast Reduction Female Breast Reshaping Blephroplasty

Laser Hair Removal Chemical Peels Herbal Peels Medical Peels Hydra Peels Skin Rejuvenation Skin Whitening Tatoo Removal Scar Removal Acne Pigmentation

To The

State of

Art

Revive your aspiring personality

Our expert team of doctor and staff in a friendly atmosphere provides you the standard quality service and optimal results.

ALHAMDULILLAH, We can proudly claim that Vagus Institute of Hair Transplant, Laser & Cosmetic Surgeries regard as trust worthy institute, provides you the most modern aesthetic services with full confidence and expert skills for the last 19 years. Our expert team of doctor and staff in a friendly atmosphere provides you the standard quality service and optimal results.

Its our wish that we can provide you “The Best”, so that you can feel a difference in your personality and become more confident. Our first and foremost important priority is towards “Infection Free Atmosphere” and for this purpose, we are using the most modern techniques regarding cleanliness and hygiene. Being a doctor, its our responsibility to revive your beautiful look without giving you any kind of pain (like infections or other things).

Vagus Cosmetic ensures the quality and service to the patients without compromising their privacy and comfort.

The instruments and tools used in the clinic during the procedure are exported from United States Of America. On regular basis; a laboratory inspection is done to ensure the cleanliness and bacteria free atmosphere.

Surgery Room: Our state of the art surgery room is worth seeing. It is ultimately designed for the patient’s comfort.

“REMOTE CONTROL”O.T table with six inches thick mattress having LCD hanging just above it always provides a relaxed dream state entertainment to the patient . All this is done to ensure absolute relaxation of the patient under cool white 0.T lights especially for the status conscious persons.

VAGUS?

Why we choose

Has the most experienced Hair restoration practice in Pakistan.

Has performed the most number of surgeries in Pakistan.

Is the only American trained team of doctors & staff in Pakistan.

Has pioneered many of the tools & techniques in use worldwide.

Invented Densitome evaluate the quality and density of donor hair for optimum results.

Revolutionary depth control instruments, which were introduced in Hair Transplant.

Field in 1992, enabled to perform Hair Transplant without damaging the arteries & never.

Follicular extraction technique provides scarless Hair Restoration for limited Hair loss.

Is often called upon to perform corrective work for hair transplant done elsewhere.

Has performed the most number of mustache, beard, eyebrow & eyelashes hair restoration in the world.

Has performed the most number of Hair Restoration for Burn & Trauma patients.

Develop unique arithmetic system uses facial proportion angles and ration to give natural look Unique individual Hairline that looks good for life. This arithmetic system for hair line.

Has been published in the text books & taught in American universities.

Innovative computer structural analysis provide an advanced look at your future hair.

The prices and the whole procedure is transparent to the client. you can clearly see what procedure you are going through Committed to every patient need individually.

Our hospitality will put you at ease from your very first visit.

Our transplant results are best in the sector.

Instruments and tools used in the procedure are exported from the USA. A laboratory test is taken on alternative days to ensure the environmental condition and to make it bacteria and germs free.

We Provide the patient comfort, privacy and extensive care.

We have experienced in licenced surgeons who have years of experience.

No queue in the clinic, we provide you free consultation as well.

Hair Transplant Short Story: In Hair transplant surgery we take hair from the back of the head and put them in the bald area one by one. The hair at the back of the head are permanent and they do not tend to fall for the whole life (If you see the bald headed person of 80 years he will be having the hair on the back of the head).When you put these hair on the bald area they will stay for the whole of ones Melt takes 4 to 6 hours to complete the procedure. Many techniques are available for Hair transplant surgery, two of them are listed below: Strip Method: The hair from the back of the head are taken in the shape of a strip (PATTI).The width of the strip is limited depending on the flexibility, laxity available at the back of the head (2.0 to 2.5cms).The length of the strip is from one ear to the other depending on the circumference of the head ( 20 to 27cms). Now you have to look for the thickness of the hair at the back of the head with an equipment called a densitometer (NORMAL:100-110 HAIR/CM2).The availability of the hair can be calculated as width x length x number of hair per square centimeter e.g. width of the strip is 2cms, length is 25cms. and thickness of the hair per square centimeter is 100 hair, The total number of hair roots available are 2 x 25 x 100 5000. Now keep in mind that the strip can only be taken by giving two cuts and if you give two blind cuts of 20cms to 25cms long when the hairs are not in the one direction, you can cut more than 600 roots in upper cut and the same number of roots at the lower lip. Hence in total you will waste more than 1200 roots straight away and considering the strip taken by multiple blades giving multiple cuts, we can imagine how much roots are wasted. We do not cut the strip, we just separate the skin with separator and with this technique even a single root is not wasted. After that the strip is divided into the silivers and then ultimately into grafts of single, two and three roots under the microscope of 40x power. All this is done to fight for ZERO WASTAGE. Invisible Scars: We produce invisible scars in almost all the cases of strip methods by following all 8 techniques of the “TRICHOPHYTIC CLOSURE “.We can tell you all the details of these techniques upon our meeting you in person.

Infection Control: In our state of the art operation room, we use all disposable instruments. These new disposable instruments are shown to the patient before use. H, Filters are used during surgery to filter the air every second. These filters can suck the perfumes on the haclothes. Above all the patient is advised to have his tests of contagious diseases so that after surgery he can counter-chek his tests.

Another Trend in

Hair Transplant

F.U.E Follicular Unit Extraction The most modern, Comfortable, technique which is done by expert Doctor

Dr. Rana Irfan without Massive Surgery Painless Procedure

F.U.E

Follicular Unit Extraction

----------------------------------------------------------------------------------------------------------------In the modern world the strip method is now going into the background and FUE (Follicular Unit Extraction) is coming more into the forefront. Above 90% Of the people prefer FUE. In FUE we take the hairs one by one from the back of the head and put them one by one on the bald area.

No strip ( PATTI) harvesting from the donor areas.

No cutting.

No single or multiple blades.

No stitches are applied any where.

No bleeding.

Early healing of the donor area as compared with strip method.

Zero transaction rate (No wastage).

No stretch at the donor site.

No discomfort.

No pain is there.

NO DISCOMFORT and most important of all NO PAIN is experienced!

Follicular Unit Extraction (FUE) is a method of extracting, or “harvesting,” donor hair one by one in a follicular unit hair transplant procedure. In FUE, an instrument is used to make a small, circular incision in the skin around a follicular unit, separating it from the surrounding tissue. The unit is then extracted (pulled) directly from the scalp, leaving a small open hole.

This process is repeated until the hair transplant surgeon has harvested enough follicular units in the recipient area. This process can take one or more hours and in large sessions, may be accomplished over two consecutive days. The donor wounds, approximately 1-mm in size, completely heal in seven to ten days, leaving tiny white scars buried in the hair in the back and sides of the scalp.

This method of donor harvesting, removing follicular units one-by-one directly from the scalp, is what differentiates the FUE procedure from a traditional Follicular Unit Transplant (FUT), where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units using a stereomicroscope.

Before the grafts are harvested, tiny “recipient sites” are made in the balding area of the scalp using a fine needlepoint instrument. The follicular units are then placed into the recipient sites where they will grow into healthy hairproducing follicles. The creation of recipient sites and the placing of follicular unit grafts are essentially the same in both FUE and FUT procedures. The difference lies in the extraction of hairs from the donor area and in the quality and quantity of grafts obtained with each technique.

Robotics & Other Instrumentation for FUE Follicular Unit Extraction is an instrument dependent procedure; therefore, the type of tool used for this procedure significantly affects its outcome. In fact, the development of increasingly better extraction instruments has closely paralleled advances in the procedure.

Vagus Cosmetics – Center for Hair Restoration began offering Follicular Unit Extraction (FUE) hair transplants using the ARTAS robotic system, developed by Restoration Robotics, for the extraction of follicular unit grafts. We are now performing all of our FUE hair restoration procedures using this technology.

The Origin of FUE The use of direct extraction to harvest follicular units was initially conceived by Dr. Woods in Australia as the “Woods Technique,” but he did not disclose the details of his procedure. The technique was first described in the medical literature by Drs. Rassman in their 2002 publication “Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation.” This paper provided the anatomic basis for the procedure, gave it its current name, and described the FOX test used to identify patient variability in harvesting, an issue which continues to be a significant challenge for doctors today.

A major refinement in the procedure was advanced by Dr. Jim Harris by adding an additional step of blunt dissection

to the technique, as this substantially reduced transactions (damage) to the follicles. FUE continues to evolve as more physicians learn about this procedure, gain experience with it in their practices and offer improvements to the technique.

Indications for FUE Because FUE does not leave a linear scar, it may be appropriate for patients who want to wear their hair very short.

It is also an advantage for those involved in very strenuous activities, such as professional athletes, who must resume these activities very soon after their procedure.

The technique is also useful for those who have healed poorly from traditional strip harvesting or who have a very tight scalp. FUE also allows the surgeon to potentially remove hair from parts of the body other than the donor scalp, such as the beard or trunk, although there are many limitations with this process.

Possibly the most straight-forward application of this technique is to camouflage a linear donor scar from a prior hair transplant procedure. In this technique, a small amount of hair is extracted from the area around a linear donor scar and then placed directly into it.

Some patients desire FUE simply because they heard that FUE is less invasive than FUT or is non-surgical. The reality is that both procedures involve surgery and in both cases the depth of the incisions (i.e. into the fat layer right below the hair follicles) is the same. The difference is in the type of incision made. In FUE there are multiple round incisions scattered diffusely through the donor area and in FUT there is one single, long incision in the middle of the donor area.

FUE should be chosen if the multiple round incisions are preferred and if you desired no scar.

Post-op Course Since FUE harvesting requires a much larger area compared to strip harvesting (approximately 5x the area for the same number of grafts) in order to perform large sessions of FUE, the entire donor area must be shaved. This regard as present a significant short-term cosmetic problem for the patients. If patients is not comfortable with head shaving or it is a very small graft transplant; then in both cases shaving can get avoid. Without shaving the head the follicle can be taken out; it is totally based on surgeon experience and skill.

On the other hand, because there is no linear incision with FUE, patients can resume strenuous activities and contact sports much sooner after the procedure.

Comparing FUE & FUT Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are frequently compared as if they are two totally different in nature. The difference between FUE and FUT is the method by which follicular units are removed from the donor area in the back and sides of the scalp. The remaining of the hair transplant procedure is essentially the same.

However, the harvesting method does have important implications for the hair restoration procedure as it will affect the total number of high quality grafts that can be harvested from the donor area and ultimately, the fullness achieved from the hair transplant. In general, the harvesting method of FUT via strip is superior to that of FUE for two main reasons. The first reason is that the FUT procedure allows the surgeon to produce the highest quality grafts by isolating the follicular units with minimal trauma (this disadvantage is minimized with Robotic FUE). The second is that FUT enables the surgeon to best utilize the most permanent part of the donor area. However; the benefits come with a little disadvantage which is minimized by the FUE procedure. FUT gives a linear scar and a little bit pain which be reduced by the surgeon experience and handling while in the FUE procedure, there is no pain and a point like scar which is not visible to anyone.

Because the differences between FUE and FUT are significant, the pros and cons of FUE & FUT should be considered when deciding which procedure is best for you. Pros and Cons of FUE.

F.A.Q’s

1. What is F.U.E? “Follicular Unit Extraction” is the removal of individual follicles in the groups of 1-4 hair and then put in the bald area.

1mm incision is given with a special equipment to remove the follicles. At “V A G U S” we use power extractions designed by Dr James Harris (USA).With this equipment an experienced doctor like DR RANA IRFAN can remove more than 700 grafts in one hour but with the conventional techniques available in the whole world, one can only extract 300 or less grafts in one hour. So you can have maximum number of grafts in shorter time at our centre.

2. Why should I have FUE? The current debate is whether this is a better technique or not, compared to the strip method. With regard to this important topic. I would try to highlight the benefits of the FUE more than the strip method, however at the same time. I am also a big defender of the strip method because I have also been doing the strip method for the last many years, and have made some good innovations in the strip method.

In FUT using separators in spite of the blades “Habber’s separators”(USA) and separation of the “SEVEN STRIPS” with the belly of the no.15 blade that was invented by me at the UZMA MEDICAL CENTRE in 2007.

Now about some facts; In the strip method a wide part of the skin is excised (2 to 3cms) which can reduce the flex-

ibility available at the back and side of the head. The low flexibility and laxity in the donor area is the apparent reason for generating wider scars.

Test to check the flexibility and laxity in the skin: If you touch your chin onto the chest and then just pinch at the back of the head to check if the flexibility or LAXITY is available or not, this test will give you the actual findings about the stretch or strain that can be there after strip excision. Now you should repeat the same on the side of the head, if you touch one ear to shoulder joint and then pinch on the opposite side of the head to feel for the LAXITY available, even then you can find the result of stretch available after the strip extraction from the donor area. If more area is excised to achieve more number of grafts by the wrong type of extracting exercises; then there will be more stretch in the donor area which resulted in generating wider scars at the donor areas, which are unnecessary. As In Vagus Cosmetics: in the strip methods we don’t do such type of innovations and surely eliminate, the donor area scar by the technique called “TRICHOPHYTIC CLOSURES”.

There is more pain in the strip method mostly because of the stretch and strain, and delayed healing as compared to the FUE. This strip is then cut into slices and eventually into the grafts. All this work should be done under the stereo microscope (as at our center) however, if it is done without the microscopes it can cause extreme damage to the roots and a heavy percentage of the roots are wasted. We do not cut the strip with the blades; but we use separators to harvest the strip at the donor areas to minimize the wastage of the follicular unit grafts. Many doctors give blind cuts to harvest the strip at the donor area and these can damage the nerves if they cut deeper into tissues, thereby causing hypersensitivity or numbness in the donor area and the top of the head. Of course; this does not happen in all the cases; but can be done in some cases. We can now imagine the doctors that cut the strip with multiple blades (3 or 7 blades), what kind of the damage they can cause at the donor areas.

In FUE there is no reduction in LAXITY because very little skin is removed. Only the hair in the surrounding area is removed. There is no linear scarring at in the donor area. Nor is there any area to close with the stitches. The repeated procedure can be performed on the very next day; but in the strip method it can be repeated only after 8 months. The hair can be taken from a wider area. The hair can be taken from any part of the body. Though it should be taken from the areas that can be concealed with by clothing.

3. What is Transaction?

Transaction means cutting off the lower part of the hair ( hair bulb) from where the hair grows,while taking the hair follicles. The transaction rate depends on the experience of the doctor and the precision of the equipment or instruments used by the doctor. If one is using some reliable equipment like power extraction unit, one should have good experience with the manual equipments, so that; they are aware of the equipment practices that lower the rate of the transaction. With this kind of quality experience the DOCTOR/S should have not more than 5% transaction rate, but the doctors with less experience approximately have 40% to 609/0 transaction rate. At our center the transaction rate is less than 2%. The transaction is a serious issue because you have a limited donor area and you can’t afford wastage.

4. How a doctor analyze that the patient is a good candidate for FUE procedure?

FOX TEST To evaluate a good candidate for FUE; a doctor should perform a test by extracting one or two follicles as a test. They can either be extracted with ease or can create some problems or discomfort to you. This test is called the “FOX TEST”.

By this you are made comfortable about the decision making process about the patient and can confidently make some commitments to them.

5. Is there any scarring from FUE? Yes, very small tiny scars can be visible for three days to a week, but should not be seen more often when the scabs get removed. Sometimes it depends on the characteristics of the skin, red spots are seen which convert into white ones after a few days, and ultimately faded to the skin color. Usually no scar is seen at the donor area.

6. Are there any risks I should be aware of?

Depending upon the density of the donor area there may be thinning effect .we take one out of five hair. If the person is having a good density on the back of the head or doesn’t have visible density on the back of the head. I would suggest in any case; that the head should be shaved off to extract the hair equally from the whole wide donor area to avoid any thinning at the donor area, I use the instrument of 0.7= diameter to avoid the damage at the donor area.

7. I am “Norwood 5” how much hair will I need to get good coverage?

The good results vary from person to person but in my opinion with an average density you will need 4000 hair (about 1800 grafts) to cover the area just before the crow (vertex). You can have more grafts for more thickness. If you are bald behind the crown then you will need more grafts to cover that area because of its curved shape and the hair transplant in this area is in whorls and it needs many grafts to give it natural shape.

F.U.E

FUE is the most advanced method of hair transplantation in which individual graft is taken out from the donor area with the help of special Follicular Unit Extractor.

Using FUE transplantation, hair can be transplanted without any pain, puff up and blood loss, this is the ------------------------------------------------------------------------------------------------------- finest thing that differentiates FUE from other hair transplantations.

STEPS AND PROCEDURE OF FUE

01

02

Firstly the hair get trimmed to extract the follicular unit with ease.

03

A sharp micro punches are used to determine the depth of the grafts.

04

Punch grafts are gently lifted one by one through forceps.

The extracted follicular units are studied under microscope to intact the undamaged and maximum amount of grafts.

05

06

Tiny needle size impression is made in the bald area by maintaining the natural hair line where the grafts are placed.

F.U.E procedure doesn’t damage the Donor area Grafts.

After the procedure tiny red dots are Left behind which leave a pin size scar. Those scares are healed within days and new hairs grows back with in a weeks.

F.U.T

Follicular Unit Transplant

-----------------------------------------------------------------------------------------------------------------What is Follicular Unit Transplantation?

Follicular unit Transplant is the procedure in which the hair is taken out from the back and sides of the scalp; where hairs are resistant to balding. Regardless of the procedure; the hair transplant is performed by extracting the group of 1,2,3 or 4 hairs called follicular units. Firstly the patient’s scalp is anesthetized, the doctor removes a strip of tissue from the donor area, an area within the permanent zone, and, once extracted, the donor strip is cut into many individual follicular units using microscopic dissection techniques. As these follicular unit grafts are being prepared, the doctor makes tiny holes in the scalp, called recipient sites, where the grafts are placed.

The arrangement and positioning of these follicular unit grafts determines the aesthetic qualities of a hair transplant, so this arrangement must be decided on a case-by-case basis, depending on the patients’ history of hair loss and the likelihood of future hair loss. Since follicular unit transplants mimic the way hair grows in nature, the results, in expert hands, will look completely natural and be indistinguishable from one’s original hair. See some of these results in our Before & After Hair Transplant Photos galleries.

Follicular Units For years, it was thought that scalp hair grew as individual strands, but scalp hair actually grows in tiny little groups of 1-4 hairs each. These groups are called “follicular units.” Surprisingly, even after doctors learned about the existence of these groups, they didn’t think to use them in the hair transplant.

Graft Dissection One of the most important aspects of Follicular Unit Hair Transplantation is stereo-microscopic dissection. This allows follicular units to be isolated from the donor strip without being broken up or damaged. During graft dissection, it is critical that the whole follicular unit is kept intact as this will maximize its growth. Intact follicular units will also give the most fullness to the hair restoration, as they contain the full, natural follicular unit of 1-4 hairs.

Holding Solution There are a variety of solutions in which grafts can be stored; during the hair transplant procedure to maintain their viability and to ensure maximum growth. Our understanding of the ideal holding solution continues to evolve. After testing and analyzation of the best solution, we are currently using HypoThermosol.

Recipient Sites Recipient sites are the tiny slits or holes that the hair transplant surgeon makes in the patient’s scalp, where the follicular unit grafts are placed during a hair transplant procedure. At Vagus Cosmetics, the recipient sites in all of our hair transplants are made using lateral slits (also called coronal or horizontal slits). Lateral slits have the advantage of orienting the hair within the follicular unit to match the way it grows in nature. This gives the hair transplant surgeon the highest degree of control over the direction and angle in which the transplanted hairs will ultimately grow.

Donor Area The donor area is the area of the scalp (generally the back and sides) where the hair-bearing skin is removed during a surgical hair restoration procedure. For hair transplants to be effective, the hair in this area must be permanent (i.e. not subject to the effects of DHT).

Minimizing the scar from the donor incision is a critical part of a successful hair transplant procedure. A fine donor scar allows a person to keep his/her hair relatively short after the hair restoration (if one wants to do so) and increases the amount of hair that can be harvested (removed) in subsequent hair transplant procedures.

Graft Numbers Determining how many follicular unit grafts will be transplanted in a hair transplant, is an important aspect of planning and designing a hair transplant for the maximum possible aesthetic effect. The graft numbers page gives general guidelines for the number of follicular unit grafts needed in a patient’s first hair transplant procedure and for subsequent procedures, if more than one session is indicated.

Brief History of Follicular Unit Transplantation Follicular Unit Transplantation was conceived by Dr. Rana Irfan and first described in the medical literature in his landmark 1995 publication, “Follicular Transplantation.”

FUT was a major advance over the, now obsolete, “mini-micrografting” hair transplant procedures that preceded it. In mini-micrografting, the graft sizes were arbitrarily determined by the hair restoration doctor, who would cut the donor tissue into different size pieces. These larger grafts, commonly known as “hair plugs,” might have contained up to 12 or more hairs, were bulky, and could produce a tufted appearance. They could also result in a dimpling of the underlying skin.

The major advance brought by Follicular Unit Transplantation is that the use of special stereo-microscopes enables surgeons to meticulously dissect the hair grafts. This helps preserve the integrity of the follicular units and enables the surgeon to keep all of the growth elements of the hair follicle intact. The survival of the grafts is maximized and, as a result, both the hair transplant and the underlying skin will look completely natural when the transplant matures. With FUT, thousands of grafts can safely be transplanted in one session, allowing the patient to complete the hair restoration as quickly as possible.

Follicular Unit Extraction uses similar methodology, with the main exception being that the follicular unit grafts are extracted directly from the donor area.

“

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F.U.T

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STEPS AND PROCEDURE OF FUE

The individual follicular units can be removed without being damaged, while in the conventional techniques, hair was produced in various strips.

F.U.T also ensures the naturalness of hair transplantation, since the hair grows in follicular units but the particular use of F.U.T ensures that each implant will be identical to the other follicular units.

01

02

In the donor area 2 parallel blind cuts (approximately 20-25 cm long) are applied to extract the strips.

03 From the cuts; strip of hair is taken out.

04

Extracted hairs are harvested and prepared for treatment.

05

The strip is further divided into grafts.

06

For the donor closure Stitches or sutures are applied.

07

Lines are created on the reception area in order to mantain the natural hair line.

08

Generally the Hairs beings to grow naturally within weeks.

Tiny needle size, impressions are made in the bald area by maintaining the natural hair line and then the grafts are placed.

I.F.I

Irfan Follicular Implant

-----------------------------------------------------------------------------------------------------------------What is Irfan Follicular Implant?

IFI is the procedure of hair transplantation, which has been originated by our surgeon Dr. Rana Irfan. The method is similar to FUT in which a strip of hair is removed from the donor area (the area from the hairs are taken out) usually from the back of the head but is more precisely designed to save the donor area. In FUT there are two parallel blind cuts apply to harvest the strip of hairs in which, many hairs are wasted on both edges of the strip (according to our estimation approximately 1600 hairs are wasted). In IFI method the strip is removed by using an instrument called skin separator that opens the skin from which hairs are taken out. In this technique the skin is separated by pushing it from both sides which create a slight increase in the laxity of skin; which overcome the pain in contrast with FUT. In IFI the scar formation is comparatively reduced due to the minor stretch in the donor area. This technique minimizes the hair loss which occurs in FUT techniques.

I.F.I Procedure of Hair Transplantation: In FUT techniques we take a strip from the back of the head by giving two parallel cuts about 20-25cm long in the donor area. In FUT method,it has been estimated that in one cut approximately 700-800 hairs get wasted. If we calculate the wastage on both ends, it would be approximately 1600 follicular units. This is a huge wastage of follicular unit in one session of hair transplant.

In I.F.I (Irfan follicular implant), the procedure of harvesting the donor area (the area from which hairs are taken out) in a form of strip is same.

In IFI procedure the strip is separated by an instrument called skin separator (Haber’s separator can also be use for this purpose).

This separator will separate the skin rather than generating two deep cuts in the donor area like FUT in which huge wastage embarks.

By using the separator we save the wastage of 1600 hair grafts which happened in FUT, and this is a big save.

The skin separator basically push the skin from both sides in the back of the head, which enhances the laxity in the skin that eventually decreases the tightness of skin in the donor area.

In surgery, where there is a stretch there is a pain. Due to the reduction in stretch in the donor closure, the pain also gets decreased after surgery.

More than 90% scars usually appears because of the tension on the closure side.

In I.F.I the tension in the donor area is very low; which reduces the scar formation in accordance with FUT.

DIFFERENCE BETWEEN I.F.I AND F.U.T PROCEDURE: The most common differences between IFI and FUT are given as follows:

In IFI, surgeon in the donor area separates the skin rather than giving parallel cuts in FUT. The loss of hair grafts is extremely low in the donor area in the IFI, while in FUT many hair grafts are wasted.

In both procedures you get scars, but the visibility and length of scars are minor in the IFI than FUT. The hair density in IFI is higher in contrast to FUT.

BENEFITS OF I.F.I: In this method, it is estimated that low wastage of hair grafts happens.

This procedure provides a wide range of hair to cover the baldness in a single session of hair transplant.

IFI provides non visible scars, which is compressed in width.

The IFI technique is not very painful, due to the reduction of tightness in the closing of the donor area.

Patients get far more satisfactory result in accordance with other hair transplantation procedures.

GRAFTS MEASUREMENT

The IFI technique uses strip method, but with certain advances in the techniques of collecting hair grafts from the donor area. The estimated length of the strip and the number of hair grafts used in these techniques are given as follows: LENGTH OF THE STRIP = ”25 CM” WIDTH OF THE STRIP = ”1.5 CM” TOTAL AREA TO BE HARVESTED = 25x 1.5 =37.5 CM” NUMBER OF GRAFTS PER SQUARE CM = ”100″ ESTIMATED NUMBER OF GRAFTS = 37.5x100 =”3,750″

WHY CHOOSE I.F.I FOR SURGERY

In this procedure, there are no cuts, but the strip is separated by a separator to retain the stretch which will provide skin laxity in the donor area.

It saves your hair grafts from wasting, which will provide you donor reserves in case of another surgery.

Almost invisible scar which can be hidden easily.

No parallel cuts, but a skin separator will separate the skin from where the hair grafts can be easily harvested from the donor area.

The stretch in closure area is minimized, the pain is minimized in this technique.

The technology revokes itself with each passing day similarly the medical procedures and techniques are getting advanced which surely is beneficial for the patients. These innovations in the medical field are emerging to provide better results and in order to decrease the sufferings which a person endures during the procedures. IFI is an innovation in Hair transplant procedures to give patients best results and to prevent patients from painful methods.

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I.F.I

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STEPS AND PROCEDURE OF FUE

I.F.I was designed to avoid this wastage that happend in F.U.T .

In I.F.I Hair Transplant procedure skin separators is used which opens the skin without damaging the donor area.

This separation gives ZERO wastage and we can take more Hair without wasting a single Hair. In I.F.I Hair Transplant technique the skin is separated by pushing it from both ends so slight increase in laxity of skin which ultimately reduces the stretch at the Donor closure and eventually would be less pain as compared to the F.U.T Hair Transplant. In I.F.I procedure there is usually less stretch at the closure site so the scar formation is comparatively reduced than in the F.U.T.

01

02

From the cuts; strip of hair is taken out.

Rather than applying 2 parallel blind cuts in the donor area; an instrument Skin Separator is used.

04

03

The strip is further divided into grafts.

06

Extracted hairs are harvested and prepared for treatment.

05

Lines are created on the reception area in order to mantain the natural hair line.

For the donor closure Stitches or sutures are applied.

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08

Generally the Hairs beings to grow naturally within weeks.

Tiny needle size, impressions are made in the bald by maintaining the natural hair line and then the grafts are placed.

PRP

Platelet-Rich Plasma

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PRE -INSTRUCTION FOR HAIR TRANSPLANT

There are some minor preparations you need to go through before the hair restoration process in Vagus Cosmetics by Dr. Rana Irfan. The pre-instructions that need to follow before the procedure are given as follows: Instructions For the Patient:

What Instructions need to follow before 14 days:

Contact the doctor immediately after receiving the laboratory results

If you are already taking any medication for any underlying complication you should share it with

the surgeon in order to avoid any unwanted complication.

ADDITIONAL INFORMATIOM FOR FUE PATIENT

1mm length hairs are shaved off for longer sessions before the surgery while if the session is shorter than the strip is shaved off which can easily be hide with the hair above.

The doctor if already told that they will shave a short area, then don’t cut your hair, especially from the back and sides of the scalp, to cover the procedure area.

If you have any query regarding the length of the hair it would be better to leave the length of hair long, so that the before the procedure the specialized team will trim them up on the day of surgery.

ADDITIONAL INFORMATIOM FOR FUT PATIENT

Do not cut your hair before the procedure; it is better to leave them long so the staples and stitches that you will get after surgery could be easily disguised.

Before surgery, our expert would trim your hair according to the desired length needed before the procedure.

What Instructions need to follow before 7 days:

Don’t take vitamins or multivitamins that you have been taken especially B or E; because this can interfere with the hair transplant procedure.

Drugs that you have been taking on a daily basis (e.g., blood pressure or medications for heart diseases) must be continued even on the day of the procedure (But it’s necessary to inform your surgeon about each drug you have been using)

Nicotine usage (smoking) should be avoided. It has been thoroughly discussed that smoking is dangerous to health, but still people inhale this. It would be prescribed by a doctor before the surgical process to skip smoking because its effects hair growth. For chronic smokers, it would be recommended by the surgeon before the hair transplant procedure to skip smoking at least prior to a week before the surgery and two weeks after the surgery. The nicotine particle compresses the blood vessels and slow the flow of blood to the skull. These aspects play a dominant role in disturbing the healing of wounds. Smoking habit attributes to slow healing and if you still do smoking during the procedure, there would be a high risk of infection and scarring, but according to Dr. Rana Irfan opinion; for a chain smoker, he allows chronic smokers to smoking even on the day of surgery because if he stops smoking suddenly then he will be irritated on the day of surgery and feels more pain than usual.

ADDITIONAL INFORMATIOM FOR FUT PATIENT

Massage your donor area for ten minutes every day to enhance the flexibility or laxity only for (FUT) strip method.

What Instructions need to follow before 3 days:

Avoid consummation of alcoholic liquor.

If you dye hairs daily to hide the white or gray hair. It would be suggested by the surgeon to dye your hairs before three days, so that white hairs can be visible remain during the procedure of hair restoration.

Additionally, clean the scalp on a daily basis for three days to remove the dying from the scalp.

What Instructions need to follow on the day of Surgery:

Wash your hair in the morning.

On the very day of the procedure do not use any kind of hair products.

Wear the clothes (front open shirts) which are comfortable and can easily removed without disturbing the scalp.

If the surgery is in the afternoon; please avoid heavy lunch.

Don’t drink caffeinated products like tea or coffee on the day of your procedure. Caffeine increases the bleeding (but this is not applicable to the persons which are above 40 years)

POST-INSTRUCTION FOR HAIR TRANSPLANT PATIENT

It is necessary for the patients to go with the instructions given by the surgeon in order to ensure quick healing and to skip the chances of infection and scarring.

The post guidance which patients have to assimilate after surgery are given as follows: Instructions For the Patient: After the day of transplant procedure

Place your head high to sleep after the surgery for a few nights.

On the very next day of surgery shampoo your hairs in the morning.

Take the medications (if any) prescribed by the doctors.

Avoid Alcohol for three days.

Avoid smoking.

Cover your head with hats or something to avoid direct contact with UV rays.

No strenuous exercise for a certain time period (ask your doctor) but you can continue your routine walk or jogging after three days.

After 7 days

Wash your hair gently twice a day after the transplantation.

Avoid smoking After 10 days

The hair grafts become subtle in your head so you can continue of your shampoo habit and hair care

Avoid smoking After 14 days

Chronic smoker can resume their habit after this week

You can start having direct speedy showers but avoid hot showers, especially on the head.

After 28 days

You can rejoin your gym fro your routine exercise.

You can rejoin your sports club for the routine games

You can apply oil

You can use conditioner, hair spray (minoxidil)

You can use dye on your scalp

P.R.P

P.R.P is a non-surgical treatment. P.R.P is a platelet rich plasma therapy in which the blood platelets are used to stimulate the hair growth. Human blood cells contain growth factor which basically is proteins. These proteins contain regenerating properties that work to repair the damages tissue and also activate the stem cells.

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STEPS AND PROCEDURE OF FUE

01

P.R.P, is a very simple procedure in which blood is drawn out of the patient’s body; then plasma (a yellow substance) is obtained from the blood and then the extracted plasma is applied to the scalp to make the dormant hair follicle active and to stimulate the hair growth.

This procedure of P.R.P does not require long sitting it only take a few hours from your busy schedule. There is no adverse effect of the P.R.P treatment registred till date.

02

First 20-60 ccs blood is drawn out from the patient’s vein; the procedure is similar to the blood test. It is than placed in FDA container

03

FDA container is placed into the Centrifuge machine which spun the blood for 14 minutes.

04

The rotation of the machine separates the blood into three layers. The First layer contains poor platelets, the middle one contains the yellowish area contain plasma and white blood cells and the third layer have red blood cells. The middle layer has the rich plasma, which injects in the scalp.

6th STEP After microneedling immediately the PRP is injected into the scalp to active the hair cell growth.

Hair Transplant Repair A significant number of hair restoration surgeries performed at Vagus Cosmetics are to correct the appearance of poorly performed hair transplants. Some of these resulted from using outdated methods; such as plug-procedures, mini-grafts or scalp reductions. Other problems were caused by poor techniques, improper planning, or from transplanting patients who were not appropriate candidates for surgery. Unfortunately, many of these problems persist today.

Although a “bad hair transplant” can significantly affect a person’s quality of life, recent advances can often improve the cosmetic appearance of those who have had even the worst hair restoration procedures.

The techniques for correcting the cosmetic problems caused by outdated hair transplant procedures have improved dramatically over the past ten years. The Art of Repair in Surgical Hair Restoration” (Part I – Basic Repair Strategies and Part II – The Tactics of Repair), where he emphasized the importance of graft excision and re-implantation in order to achieve the best aesthetic outcome during a hair transplant repair.

Camouflage Camouflage is the technique where small follicular units, or micro-grafts, are placed immediately in front of the larger grafts to hide them, or improve their appearance by making the hairline softer and more natural. At one time, it was felt that most of the old plug or mini-micro-grafting hair transplant procedures could be corrected by simply using camouflage techniques to hide the unsightly grafts. The problem with this method is that if the larger grafts are too close to the frontal hairline, if they are located in the crown, or are simply pointing in the wrong direction, camouflage alone will not correct the problem. Camouflage also cannot correct hair lines that have been transplanted too low on the forehead.

Adding additional grafts to an area that has not first been properly corrected can compound the problem by making this area even more unnatural and by wasting precious donor hair.

Graft Removal It is now apparent that a more aggressive approach is needed for removing and re-distributing the abnormal grafts in order to make the subsequent camouflage most effective. In this process, called graft excision, the problem grafts are carefully removed, dissected into individual follicular units, and then re-implanted in their proper location and direction. The areas where the larger grafts had been removed are then sutured closed.

Besides re-using the hair, another advantage of this technique is that, as the grafts are removed, the underlying scarred tissue is removed as well, so that the overall appearance of the skin in the area is often greatly improved.

When grafts are very small and numerous, but in the wrong location or direction, graft excision may be impractical. In these cases, laser hair removal may be the appropriate technique, particularly if the underlying skin is relatively normal.

Combined Repair Not all of the patient’s original large grafts should be removed. In fact, if these grafts are distributed properly and are pointing in the proper direction, additional follicular units may simply be placed around them to give a more natural appearance. On the other hand, if many grafts need to be removed, the process of graft removal and re-implantation can take several sessions. It takes considerable skill and aesthetic judgment to strike just the right balance between graft excision and camouflage, but getting it exactly right will make the difference between an average and an exceptional hair transplant repair. This technique of using graft excision with camouflage is called combined repair.

Once the larger grafts have been redistributed, the surgeon takes additional hair from the donor area for the camouflage, using either a microscopically dissected strip (FUT) or directly from the donor area using Follicular Unit Extraction (FUE). The follicular unit grafts generated from either of these techniques are placed at the hairline, or in other areas of thinning, to complete the hair restoration. It is important to stress that all excised grafts are re-implanted back into the scalp the same day — the hair is never wasted!

Fixing Scars A more recent development in hair transplant repair is the use of Follicular Unit Extraction (FUE) to camouflage a widened donor scar. In this technique, hair is extracted from around the area of the linear scar and then placed directly into it. FUE is also used in patients who have normal line scar, but decide to wear the hair in the back and sides of their scalp very short. In this case, the grafts removed through direct extraction can hide the original linear scar.

Laser Hair Removal Laser hair removal is appropriate when the transplanted grafts are small, but placed in the wrong direction or location, i.e. too low on the forehead. For laser hair removal to be useful, the underlying skin must be relatively normal, so that when the hair is removed there is little trace of the prior surgery. Disadvantages of laser hair removal are that it requires multiple treatments over many months and that the removed hair cannot be re-used.

Since the hair removal lasers work by “selective photothermolysis,” targeting a specific wavelength of high intensity light on the pigment in hair follicles, its usefulness is limited in persons with very light hair (little pigment). It also can cause discoloration in patients with darker skin, where the hair and skin color is similar and the pigment in the underlying skin absorbs some of the energy of the laser light.

Although there are many lasers, only certain types are useful for hair removal and of these, some are more appropriate for specific skin/hair types than others. Because of this, it is important to choose a doctor that has the right laser for you. The best hair removal lasers are the Alexandrite (for light-skinned patients), Pulsed Diode Laser (for light to medium skin types), and the Nd:YAG laser for darker skin types, but can be used for other skin types as well).

Laser Resurfacing Lasers use an intense beam of light to gently vaporize skin tissue to improve scars and smooth out the skin. Laser resurfacing can be used to improve the scarred skin that resulted from hair transplants that used larger grafts.

Compared to other resurfacing techniques, the laser offers more control in the depth of penetration of the skin’s surface, allowing an increased degree of precision and safety. The most advanced lasers use fractional technology to maximize healing after the procedure.

Fractional resurfacing lasers utilize a specific energy to poke tiny holes in the skin surface. This process stimulates the production of new, healthier collagen resulting in smoother skin and improvement of scars. The fractionated nature of the laser means that healthy skin is left in between the treated areas. This allows for faster healing and few adverse effects.

The most effective resurfacing lasers include the Fractional CO2 Laser and the Fraxel Restore Laser.

1. The Fractional CO2 laser is an ablative resurfacing laser, meaning that it uses high energy levels to create tiny perforations in the skin’s surface. Only one treatment with the Fractional CO2 laser is generally required.

2. The Fraxel Re:store laser is a fractionated erbium laser; it uses fractionated laser energy to heat tiny columns of the skin, without breaking the skin’s surface. There is very little downtime after non-ablative fractional resurfacing, though multiple treatments are required.

Scalp Micropigmentation (SMP) Scalp Micropigmentation (SMP) is a permanent cosmetic ‘tattoo’ that mimics the very short hairs of a closely shaved scalp. It creates the appearance of a close shave or a short buzz cut over the entire scalp. The process reduces the contrast between scalp and hair color.

SMP can be used for a variety of scalp conditions that include: common pattern baldness, scarring alopecias, and alopecia areata. It is also used to improve the unnatural appearance that is associated with outdated hair transplant procedures and those that have left widened donor scars. This procedure should be performed by an experienced hair restoration surgeon.

Depleted Supply One of the most important factors in achieving a successful correction of an unnatural looking hair transplant is an adequate donor hair supply. Even after unsightly grafts have been removed, and camouflaged, the patient may require additional hair transplants to achieve cosmetically acceptable coverage. Therefore, it is important that the donor supply be conserved as best as possible when performing a hair transplant repair.

Hair Loss in Men

Male pattern baldness, or androgenetic alopecia, is very common in adult men. It is caused by genetic traits that are passed down through a person’s inherited DNA. The genes can come from either parent. Depending on the age of the patient and the stage of his hair loss, the baldness can typically be classified in one of twelve classes of patterned hair loss described in the Norwood Classification. This system helps determine treatment options and, if the patient is a candidate for a hair transplant, it can aid the physician in designing the hair transplant from an aesthetic perspective.

The diagnosis of male pattern hair loss is initially made by observing the distribution of hair loss and by discussing the patient’s family history of baldness. Close inspection of the balding area with an optical instrument, called a densitometer, enables the physician to note the presence of miniaturized hair in the areas of thinning. Miniaturization — the progressive decrease in hair shaft diameter and length — is a process that is only seen in genetic balding, so the presence of miniaturized hairs indicates a diagnosis of androgenetic alopecia.

Once the diagnosis is made, the discussion about treatment options with the hair restoration physician may begin. In this section, we will focus solely on the causes, classification, and diagnosis of hair loss in men.

Hair Loss in Women

In women, the diagnosis of hair loss is more complex, as the most common presentation of balding, a diffuse pattern, can have a variety of non-androgenetic causes. These may include pregnancy, gynecologic problems, birth control pills, and thyroid disease. Because underlying medical conditions can produce hair loss that closely mimics the diffuse pattern seen in genetic hair loss, a careful diagnostic evaluation by a doctor is particularly important for female patients.

Classification of female genetic baldness is often more simple than in men, since women’s hair loss can be observed in only three patterns or stages. The Ludwig Classification system for hereditary hair loss in women describes diffuse hair loss as Type I (mild), Type II (moderate), or Type III (extensive).

In many cases, the diagnosis of female pattern hair loss is similar to diagnosis in men. The patient will have thinning hair, often on the front and/or top of the scalp, as well as a family history of baldness and miniaturized hairs observed by the physician with a densitometer. However, as mentioned above, hair loss in women can also be caused — or complicated — by underlying conditions, including medical conditions and therapeutic or recreational drug use. Localized hair loss in women, rather than diffuse thinning, can also occur because of medical conditions — as with varieties of Scarring Alopecia — or due to excessive hair styling — as is the case with Traction Alopecia. Because of the possibility of non-genetic factors resulting in hair loss, women often undergo additional diagnostic testing in order to confirm the diagnosis.

This section focuses on the causes, classification, and diagnosis of hair loss in women, rather than treatments.

However, we recommend that female prospective patients read this information before visiting our office for a consultation.

Hair loss is a major problem which is facing by everyone nowadays. The problem of hair loss or baldness affects more men, in contrast with women. Around the world, 75 % of people are facing these hair loss issues including men and women. Our hairs are the most active cells and fast growing cells in our body and they are very sensitive in nature. Normally we shed 50 to 100 strands on the daily basis. If the hair loss exceeds from this range; then surely it signifies some illness, infection and diseases or simply unhealthy lifestyle you are accustomed with; which causing your body to react in such a way that disrupts the hair growth cycle. Baldness is the condition of hair loss which is extremely common in men. Many of the males consider baldness as the genetic condition and doesn’t seek treatments. However, there are many underlying causes exists in their body which stop the hair growth and leads to hair loss that end up generating baldness. Mostly men blame genetics for their baldness conditions and some consider external factors the culprits for having baldness or hair loss. Let’s take a look at the great contributors which are proven to encourage hair loss or baldness in men.

GENETICS Gene’s plays a prominent role in apprehending the baldness condition in men i-e male pattern baldness or androgenic alopecia. Thousand of theories present the evident that genetic is the apparent reasons behind the baldness in men. There is a myth involved as well that male baldness genes come only from the mother’s side. However; both parents genes or any one of them baldness dominant gene inheritance can cause hair loss. Genetic hair loss is a complex condition that comes from both sides of the family. It’s not necessary that if your father or mother and their forefather have anticipated the genes of baldness then surely you will have it as well or the gene of baldness that was active in their body will become active in your body as well. Blaming genes only for the hair loss is not a shrewd thinking; there are other factors involve that encompass with the hair loss genes such as age, stress, deficiencies, illness and hormone level serves to generate baldness.

STRESS AND ANXIETY When a person experiences any kind of emotional and physical breakdown they develop stress. If the stress remains constant for a long time period, then the hair fall serves as a symptom to tell that your body is stressed. The devastating effects of stress or anxiety is that it automatically increases the body testosterone level which shift to DHT. DHT disturbed the hair growth cells by causing blockage in the blood circulation, oxygen and important nutrients to the hair follicles. The DHT also has a negative impact on the hair production; it shrinks the hair cells, which first leads to thinning and if not treated then resulted to baldness. The hair loss condition occurs from stress or anxiety is the telogen effluvium.

DHT AND HAIR LOSS: The cells from which hair grows term as follicle. The most important part of the hair growth is the dermal papilla (responsible for creating new hair follicle) which directly connects with the blood capillaries. The blood capillaries have been assigned a crucial role in providing the nutrients to the hair follicle. DHT is the hormone that plays a major role in inducing hair loss. DHT woks to partially cover the hair follicle, which prevent too much hair growth in the body. In case of increase DHT hormone in the body, the hormones start covering the whole hair layer (dermal papilla) which detach the hair follicle from the

Hair Los

capillaries, result in obstructing the supply of nourishment needs by the hair cells to grow. The high level of DHTin the body results in male pattern baldness commonly.

HEALTH ISSUES: The over neglected and least discussed reason or premature hair loss is the issues in the overall health.

Many health issues such as thyroid disorder, coronary heart disease, Diabetes, blood pressure issue, etc. are the common issues of erupting hair loss. In women the hormonal changes that they have been through from pregnancy, after the childbirth hormonal changes and the menopause can cause hair loss. The birth control pill usage also the famous reason behind the thinning of the hairs in women. Hair follicles are the sensitive cells which get damaged easily by the minor changes. There are many medications for the curing of any disease may have a side effect of causing hair loss.

NUTRITIONAL DEFICIENCY: The most common reason of dealing with hair loss is any kind of nutritional deficiency which may lead to the hair loss. The life style our younger generation lives based on the junk or unhealthy diet that deprived the body of the essential nutrients and vitamins. The fast food and junk diet lacks the protein, vitamin and iron, which cause the deficiency of the essential elements in the body. Our stomach and hair have a strong relationship. If our diet is good; our hair looks good; if our diet is bad, our hair looks bad. If the body lacks the amino acid, biotin, protein and zinc, which are the basic nutrient to proliferate the hair growth then surely it will damage the hair cell.

TREATMENTS OF MALE BALDNESS:

HAIR TRANSPLANT Men are the ideal cases of seeking a hair transplant which revives their hair growth and provide permanent hair for their rest of the life. Of course, the procedure of hair transplant depends on the baldness condition, how many grafts are required to cover the bald area and of the cost as well. It has been scientifically proven that even after the thinning or balding patches in the scalp; the donor area for the hair transplant (which is the back and side of the scalp) has the productive hair growth and contains healthy hair follicle in contrast with the women. The hair loss can be subjected through drugs, but in men hair loss or baldness condition the most effective way to get healthy hair back is to seek a hair transplant procedure which doesn’t have any harm.

ss in Men

Hair Loss in Women Hair loss is a common problem in women and men both. It has been a presumption that only men deal with baldness. However; the issue of baldness and hair loss is common in women as well, but they remain hush about it so people are not aware of that fact that women also face the issue of baldness and hair loss. The root cause of female hair loss varies. However the most common of all; are listed as follows: PCOS (Polycstic Ovary Syndrome) In these diseases the women generate more male hormones (termed as androgens) in excess amount; which develop the small fluids termed as cysts in the ovaries.

The fluctuation in the hormonal balance affects the body which ultimately leads to hair loss or heavy growth of hair in other parts of the body. It might be happened that in this condition; you are triggering the hair loss in the scalp and has to deal with extensive hair growth in other parts of the body.

Anemia Anemia is a disease that occurs when the body have low iron. The common reason behind this condition in females; is the heavy menstrual flow or the low amount of folic acid in the body or it because of the daily diet lacks iron. The body produces less hemoglobin due to iron deficiency; which means that the oxygen supply to the organs gets decreased. When the oxygen supply to the hair cells (follicle) get intervene, it weakens the hair; which cause hair breakage and hair fall.

Menopause The women’s body has to deal with a lot of internal changes; when it reaches to the menopause stage. One of the common effects of the menopause is the hair loss. It’s a common condition and the apparent reason behind the hair fall is the low level of estrogen hormones in the body. The hormonal changes and the low hormones make the hair dry and also reach to hair loss; if the women doesn’t care about it. At this stage it is necessary to take hair care and a healthy diet to fight with the menopause hair loss.

Pregnancy Pregnancy is another ultimate cause of hair loss. Various women after the baby births has to deal with severe hair loss which termed as Postpartum hair loss. It’s evident to many females that they experience remarkable hair growth during their pregnancy; and after the delivery the hormones get back to the normal which makes the hair fall. The condition occurs due to the high existence of estrogen hormone. In pregnancy the hair growth cycle part resting (shedding of hair) in which a hair gets weak, then fall off and replaced by a new hair become slow that’s why females experience massive hair growth in pregnancy period. After the pregnancy the resting phase become active which cause a severe hair loss. It should be noted in most cases, the hair fall is temporary and the normal hair growth begins after a certain period. If the condition is getting out of control, then seek medical help.

Protein Deficiency Our hair is made of protein; mainly termed as Keratin. In order to run the hair growth functions smoothly, our hairs require protein; which can be easily be consumed from the daily diet. If the body lacks proteins then the adverse effect can be seen in the hair; because lack of protein makes the hair weak, dry and also leads to premature hair fall.

Medications Women also have to bear hair loss due to the medication that they take to control pregnancy. The birth control medications have the side effect that cause hair fall. The chances involve that when you stop taking the birth control medication the hair falls also get stopped. Many other medications or therapies result in increasing the hair loss. The Chemotherapy is one of the prominent therapy which leads to massive hair loss.

Weight loss When a woman indulges their body in the crash diets and stimulate the way which stop the consumption of the healthier diet in order to lose weight. Probably these methods of the diet may able to help you to lose weight rapidly, but the adverse effect of these crash diets remains prominent on the hair. The diet keeps your body away from basic nutrients, vitamin and proteins; which is necessary for the growth. When the body doesn’t get enough nutrients; it will surely affect the hair growth and generate hair loss.

Medical problem There are many underlying health diseases which cause hair loss.The thyroid gland produces hormones; which regulates many functions of the body. When the thyroid hormones function become extra active the disease termed as hyperthyroidism and when the thyroid hormones become underactive; it refers to hypothyroidism.

The low activity of these hormones leads to many other deficiencies; if the medical assistant would not take on proper time. Mainly the hypothyroidism condition is the massive reason behind the hair loss. Another illness when the body become autoimmune; the antibodies which assigned a function to fight the bacteria and virus starts triggering the healthy cells of the body, in which they have also attacked on the active hair cells which cause damage. One of the prominent autoimmune disease found in females; which advances the hair loss is lupus.

Chronic Medical Conditions: The condition which is chronic; stays with you for lifelong such as diabetes, psoriasis are also the reason behind the hair loss. The Diabetes affects the circulatory system; which obstacles the way of nutrients and oxygen reaching the upper and lower parts of the body i.e. feet and scalp. Diabetes can also cause poor blood supply which deprives the hair cells from the blood and lead them to die. Psoriasis is a skin disorder which mostly affects the hair and scalp.

The female hair loss pattern is way more complex than men and if a woman notices the hair loss in the early stage; it’s impossible for her to undermine that the hair loss is temporary or permanent. The revival of hair growth treatment for women are few in contrast with men. All around the world only 5% of women become a good candidate for the hair transplant procedure. Most women suffer from diffuse hair loss that involves thinning in all areas of the scalp which resulted in having no donor area. After getting rejected from the hair transplant procedure; women are left with only one option to go for the drugs which is time taken process and contain some side effects as well.

TREATMENT OF FEMALE HAIR LOSS

Drugs: For female hair loss, the only FDA’s approved drug is Rogaine (minoxidil), which you need to directly apply on the scalp. However, minoxidil is not a miracle treatment, it will give some hair back, but not restore all the hair density that has lost. This drug is not going to produce the fast result; you have to wait 3 months or more to see that it works or not. If it’s work, then you have to keep using to maintain the hair growth; if you stop using these drugs you will lose the hairs. Another drug Propecia (androgen blocker) is used to counter the female hair loss if the minoxidil is not working. Although FDA has not approved this drug for the female hair loss due to the fact that it deals with the hormones and can cause many serious medical problems.

P.R.P Treatment: The P.R.P treatment is found more effective in treating women’s hair loss condition due to the fact that women possess more inflammatory cells around the hair follicle then the men Platelet Rich Plasma PRP which is a non surgical hair transplantation technique that gives you hair without any visible signs of the treatment and most importantly, without involving your other hair; so no one get an idea that you have a treatment for the hair growth. The goal of this procedure is to stimulate the hair follicle and makes them active for proper growth. This treatment involves using patient’s own blood plasma that contains high platelet concentrations. Through micro needling (to make the dormant hair cell active) the plasma is applied to the scalp which resulted in minimizing the hair loss. It’s a wonder that this treatment stimulates the stem cells where they are placed to reproduce the similar type of cells for the hair growth. This procedure of P.R.P does not require long sitting it only take a few hours from your busy schedule and there is no adverse effect of the P.R.P treatment to treat female hair loss till date.

Medical Treatment of Hair Loss

Hair Loss Medications Medications serve an important role in both the prevention and treatment of hair loss. They are particularly useful in the early stages of the balding process. There are two FDA-approved medications for common baldness in men (androgenetic alopecia); the oral medication Propecia (that contains finasteride 1mg) and the topical medication Rogaine (that contains minoxidil).

Because medical therapies work to thicken hair in areas that are thinning (miniaturized), rather than grow hair once it has been lost, medical treatments are best started as soon as genetic hair loss is diagnosed. Propecia is significantly more effective than Rogaine in treating hair loss, but they have additive effects when used together.

This section focuses on FDA-approved medications, although only two, finasteride and minoxidil, are actually approved to treat androgenetic alopecia. The other drugs commonly used to treat hair loss are approved for other purposes. Avodart (dutasteride) is only approved to treat prostate enlargement (BPH); and Aldactone (spironolactone), a diuretic, is approved for the treatment of high blood pressure. In this section you will learn how these medications — and several others commonly used for hair loss — work, how they should be used, and their potential problems.

Low-Level Laser Therapy (LLLT) Low-Level Laser Therapy (LLLT) is a treatment for hair loss based on the principle of photo-biotherapy. This involves the use of laser light to stimulate cell growth. The laser stimulates hair follicles on the scalp producing thicker hair shafts and a fuller appearance.

LLLT is, perhaps, more useful in patients with diffuse hair loss (the most common pattern seen in women). As with drug treatments, patients who seem to respond to this form of therapy have areas of thinning, rather than areas of the scalp that are completely bald. However, clear cut responses to laser therapy are often hard to document.

Laser therapy for hair loss can be administered in a doctor’s office and is also available in a smaller home version.

More powerful laser systems that utilize a rotational therapy process are available for use under a doctor’s supervision. The home version works like a comb to spread the hair so the laser light can more easily reach the scalp.

Camouflage Techniques Using cosmetic camouflage is a common way of hiding ones hair loss and is often used by persons who are just starting to thin, especially in the crown. A number of over the counter products are now available that can make the hair look thicker. They come primarily in powders, sprays and creams such as Toppik and Dermatch. The main limitation of these products is that, unless the person has a significant amount of hair to hold the cosmetics in place, it doesn’t look natural.

Wigs, hats (particularly baseball caps), and scarves are all used to hide one’s balding. In recent years, elaborate hair systems, attached by glue or sewn to the patient’s existing hair, have evolved into a major industry. The problem with these systems is that they must be periodically adjusted, requiring repeated visits to the salon and significant expense.

Because they can’t be removed at night, they cause traction hair loss, making the user even more dependent on the hair piece. They are also difficult to clean and often give the wearer the appearance of having too much hair.

Hair Removal In the case of unwanted body or facial hair, as well as the elimination of hairs in awkward or undesirable places from improperly done hair transplants, Dr. Bernstein’s wife, owner of Shizuka New York celebrity day spa offers electrolysis and IPL (Intense Pulsed Light Hair Removal) as well as skin and hair care products and services. The Spa is located adjacent to Rockefeller Center.

Herbal Hair Loss Treatments The most common herb that has been claimed to grow hair is Saw Palmetto. This is a small plant that contains two types of oils, fatty acids and sterols. It has also been marketed as an aphrodisiac, a steroid to help build muscle tissue, a treatment for natural breast enlargement, and as an aid in the treatment of prostate enlargement.

The exact mechanism of action is unknown. Saw Palmetto appears to be somewhat effective in alleviating the symptoms of prostate enlargement and is commonly recommended for this condition. However, there have not been any controlled, scientific studies to show that it can re-grow a person’s hair and it has been the experience of physicians who treat hair loss that it is not effective for the treatment of this condition. Many other herbal remedies have been used for hair loss over the years, but none seem to have any substantial benefit in growing hair.

Laser Therapy

Low-Level Laser Therapy (LLLT) in hair restoration utilizes cool lasers to stimulate hair growth and reduce hair loss. LLLT is based on the scientific principle of photo-biotherapy. Photo-biotherapy occurs when laser light is absorbed by cells and stimulates cell metabolism and protein synthesis. Although the exact mechanism by which laser light promotes hair growth is still unknown, it appears to stimulate the follicles on the scalp by increasing energy production and by reversing miniaturization (the process leading to thicker hair shafts and a fuller look).

Laser light is in the visible red light spectrum and is generated in a laser diode. The energy level is far below that of laser beams that cut or burn tissue. The low-level red laser light has a very low absorption rate in human tissue making it safe for use in the treatment of hair loss. The Revage laser emits 670nm of visible red light.

Low energy lasers have been used for over thirty years to accelerate healing after wounds or burns and to reduce pain. In 1992, Pontinen published the first paper discussing its possible use in promoting hair growth. Since then there has been much progress is defining the exact parameters necessary to accomplish this, In 2007, the FDA cleared for marketing the use of low-level lasers for the treatment of androgenetic hair loss in men. This clearance was based on the device’s safety, and not on its effectiveness in treating hair loss.

The HairMax LaserComb, cleared by the FDA as a Class II medical device in January 2007, is a compact version of the larger laser therapy units used by hair clinics in other countries to stimulate hair to increase in thickness and make the hair appear fuller. This home product has teeth that part the hair to potentially enable the laser light to reach the scalp in areas of existing hair.

The Revage Laser System, from Apira Science, utilizes Rotational PhotoTherapy (RPT). The Revage 670 is a Class IIIA diode laser approved by the FDA for cosmetic use. It is a low-level laser system that contains 30 laser diodes that rotate 180 degrees around the scalp. This dynamic process increases the contact of the laser energy with the hair follicles and is potentially more effective than a static system in delivering the laser energy to the scalp. It also eliminates human error and variability in self administration. A potential limitation is the fact that existing hair may interfere with the laser beam effectively reaching the scalp.

The unit may prove to be useful for hair loss in women where the thinning tends to be diffuse or those experiencing telogen effluvium. LLLT can be used safely in conjunction with other medications including Propecia and Rogaine and there are no contraindications which would interfere with hair transplant surgery.

While these cool laser treatments have been approved for use, their long-term effectiveness has yet to be determined. A 12 month program can require treatments from 3x per week tapering to one treatment per month and the results and satisfaction from patients thus far have been sporadic.

Hair Cloning

What is Hair Cloning?

Hair cloning is a promising treatment for androgenetic alopecia, or common genetic hair loss that is being actively researched by pioneering hair restoration physicians, hoping to be the first to develop a “cure” for hair loss. In hair cloning, a sample of a person’s germinative hair follicle cells are multiplied outside the body (in vitro), and then they are re-implanted into the scalp with the hope that they will grow new hair follicles and, thus, new permanent hair.

This fascinating field is not only interesting because of the rapidly-developing nature of the science of cloning hair, but, more specifically, because hair cloning methods have the potential to yield a treatment that effectively “cures” common hair loss -– something that scientists and physicians have been seeking for decades.

Hair cloning is a term that is often used to broadly describe a set of ideas on how to use laboratory techniques to solve the problem of hair loss. Technically, however, there is a difference between true hair cloning and the technique of hair multiplication for treating baldness. We will explore these differences in the next section.

What is Hair Multiplication?

In contrast to hair cloning, where germinative cells are multiplied outside the body in essentially unlimited amounts, in hair multiplication, donor hair follicles are removed from the scalp and then manipulated in a way that the total amount of hair is increased. This can involve using transected, or cut, hair follicles and implanting them directly into the scalp with the hope that the follicles will regenerate and grow a complete hair. Another technique uses plucked hair fragments rather than whole or transected follicles.

The concept behind hair multiplication using plucked hair is that it is an easy, non-invasive method of obtaining germinative cells. Also, the hair shaft of the plucked hair acts as a ready-made scaffold to introduce and align the germinative cells at the new site. The hope is that removing a small proportion of the germinative cells, through plucking, may provide enough tissue for the formation of a new follicle while not diminishing the original one. The problem with this method has been that plucking generally yields a hair with insufficient cells to induce a new follicle to form.

In one form of hair multiplication, hairs are plucked from the scalp or beard and then implanted into the bald part of the scalp. The idea is that some germinative cells at the base of the hair follicle will be pulled out along with the hair.

Once the hair is re-implanted, these cells would be able to regenerate a new follicle. Microscopic examination of the plucked hair helps the doctor determine which hairs have the most stem cells attached and thus which are most likely to regrow. The procedure is called “hair multiplication” since the plucked follicles would regrow a new hair, potentially giving an unlimited supply.

The problem with this technique has been that the cells that are adherent to the hair shaft when it is plucked do not seem to play a major role in follicular growth, and the stem cells around the bulge region of the follicle, the ones most important for hair growth, are not harvested to any significant degree. Recently, it has been speculated that the addition of an extra-cellular matrix (ECM) to stimulate growth would make these plucked hairs more likely to survive after implantation and then grow into a fully developed hair. This, however, has been hard to document in clinical trials.

A limitation of the newer method, using ECM, is that plucked hairs often do not contain enough germinative material to stimulate the growth of new hair, so only a small number of the hairs that are actually plucked are useful to transplant.

Another concern with this technique is that part of the new hair is derived from the skin in the recipient site, rather than being only from the transplanted hair follicle. At this point, we are hopeful that this newly formed hair (which has cells from both the donor and recipient areas) will be resistant to the miniaturizing actions of DHT and not disappear over time.

The Model for Hair Cloning When it comes to cloning, hair follicles present a significant challenge. Hair follicles are too complex to be simply multiplied in a test-tube and are not whole organisms (like Dolly the Sheep, see below) so they cannot grow on their own. Fortunately, a pair of clever scientists, Drs. Amanda Reynolds and Colin Jahoda (now working with Dr. Christiano at Columbia University), seem to have made great headway in solving the dilemma.

In their paper Trans-Gender Induction of Hair Follicles, the researchers have shown that dermal sheath cells, found in the lower part of the human follicle, can be isolated from one person and then injected into the skin of another to promote the formation of new intact hair. The implanted cells interacted locally to stimulate the creation of full terminal (i.e. normal) hair follicles. Although this is not actually cloning (see the definition above), the dermal sheath

cells can potentially be multiplied in a Petri dish and then injected in great numbers to produce a full head of hair. The word “potentially” is highlighted, as this multiplication has not yet been accomplished. It seems, however, that this hair “induction” process is the model most likely to work.

Another interesting aspect of their experiment is that the donor cells came from a male but the recipient, who actually grew the hair, was a female. The importance of this is that donor cells can be transferred from one person to another without being rejected. Since repeat implantations did not provoke the typical rejection responses, even though the donor was of the opposite sex and had a significantly different genetic profile, this indicates that the dermal sheath cells have a special immune status and that the lower hair follicle is one of the bodies “immune privileged” sites.

In addition, there is some evidence that the recipient skin can influence the look of the hair. Thus, the final appearance of the patient may more closely resemble the bald person’s original hair, than the hair of the person donating the inducer cells. The person-to-person transfer of cells would be important in situations where there was a total absence of hair. Fortunately, in androgenetic alopecia (genetic hair loss) there is a supply of hair on the back and sides of the scalp that would serve as the source of dermal sheath cells, so the transfer between people would rarely be necessary.

Probably the most important aspect of this experiment is the fact that these “inducer” dermal sheath cells are fibroblasts. Fibroblasts, as it turns out, are among the easiest of all cells to culture, so that the donor area could potentially serve as an unlimited supply of hair.

What Still Needs to be Done

There are a number of problems that still confront us in cloning hair. First, there is the need to determine the most appropriate follicular components to use (dermal sheath cells, the ones used in the Collin/Jahoda experiment, are hard to isolate and may not actually produce the best hair). Next, these extracted cells must be successfully cultured outside the body. Third, a cell matrix might be needed to keep them properly aligned while they are growing. Finally, the cells must be successfully injected into the recipient scalp in a way that they will consistently induce hair to grow.

Unlike Follicular Unit Transplantation (FUT), in which an intact follicular units are planted into the scalp in the exact direction the surgeon wants the hair to grow, with cell implantation there is no guarantee that the induced hair will grow in the right direction or have the color, hair thickness or texture to look natural. To circumvent this problem, one might use the induced hair in the central part of the scalp for volume and then use traditional FUT for refinement and to create a natural appearance.

However, it is not even certain that the induced follicles will actually grow long enough to produce cosmetically significant hair. And once that hair is shed in the normal hair cycle, there are no assurances that it will grow and cycle again. (Normal hair grows in cycles that last 2-6 years. The hair is then shed and the follicle lies dormant for about three months before it produces a new hair and starts the cycle over again.)

A major technical problem to cloning hair is that cells in culture begin to de-differentiate as they multiply and revert to acting like fibroblasts again, rather than hair. Finding the proper environment in which the cells can grow, so that they will be maintained in a differentiated (hair-like) state, is a major challenge to the researchers and appears to be the single greatest obstacle to this form of therapy coming to fruition. This is not unlike the problems in cloning entire organisms where the environment that the embryonic cells grow in is the key to their proper differentiation and survival.

Models for Cloning Hair

There are four main experimental techniques that have been recently described by Teumer. These are: 1) Implanting Dermal Papillae cells alone, 2) Placing DP cells alongside miniaturized follicles, 3) Implanting DP cells with keratinocytes (“Proto-hairs”), and 4) Cell Implantation using a Matrix.

See our Hair Cloning Methods page for descriptions and charts about current methods of study regarding hair cloning.

Finally, although remote, there may be safety concerns that cells that induce hair may also induce tumors, or exhibit malignant growth themselves. Once these obstacles have been overcome, there are still the requirements of FDA approval which further guarantees safety as well as effectiveness. This process involves three very formalized stages of clinical testing and generally takes years.

On the status of cloning — it is still a work in progress. Although there has been much recent success, and we finally have a working model for how hair cloning might eventually be accomplished, much work still needs to be done.

Overview of Cloning

Cloning is the production of genetically identical organisms. The first clone of an adult animal was Dolly, the famous Edinburgh sheep. Although technically not an exact replica of her mother (and therefore not a true clone), the revolutionary part of the experiment was that it overturned the long-held view that non-sex cells of an adult (somatic cells) were differentiated to such a degree that they lost any potential to develop into a new adult organism. Scientists had believed that once a cell became specialized as a lung, liver, or any other type of adult cell, the change was irreversible as other genes in the cell became permanently inactive. The other major challenge was to be able to initiate the multiplication of the genetically altered cell and then to provide the proper environment in which the growth of the new organism could take place.

With Dolly, scientists transferred genetic material from the nucleus of a donor adult sheep cell to an egg whose nucleus, and thus its genetic material, had been removed. This egg, containing the DNA from a donor cell, had to be treated with chemicals or an electric current in order to stimulate cell division. Once the cloned embryo reached a suitable stage, it was transferred to a very hospitable environment -– the uterus of another sheep -– where it continued to develop until birth.

Cloning vs. Genetic Engineering

In contrast to replicating whole organisms, in genetic engineering, one alters the DNA of a particular cell so that it can manufacture proteins to correct genetic defects or produce other beneficial changes in an organism. The initial step in genetic engineering is to isolate the gene that is responsible for the problem. The next step is to clone (multiply) the gene. The last step is to insert the gene inside the cell so that it can work to alter bodily function.

The first gene causing hair loss in humans was discovered by Dr. Angela Christiano at Columbia University. Individuals with this gene are born with hair that soon falls out (as infant hair often does) but then never grows back. They mapped the disease to chromosome 8p21 in humans and they actually cloned a related hair loss gene in mice. Although a huge step forward, this gene is not the same as the one(s) that cause common baldness. Luckily, Dr. Christiano’s lab continues its work to isolate the genetic material responsible for androgenetic alopecia. We will keep you posted on their progress.

A new drug that is an activator of the “Hedgehog pathway” has been shown to stimulate hair growth in adult mice.

The study showed that a topically applied medication can initiate the Hedgehog signaling pathway to stimulate hair follicles to pass from the resting to the growth stage of the hair cycle in mice. This technology has not yet been applied to humans.

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Eyebrow Transplant & Restoration

Eyebrows are a critical facial feature that helps to define the way we look. In many ways, eyebrows are more important to one’s appearance than scalp hair, as eyebrows are in a more central position on the face and serve to frame the eyes (the single most important facial element). Unlike the loss of scalp hair, the loss of one’s eyebrows is not viewed as a natural process and is, therefore, not cosmetically acceptable.

Eyebrows may be lost for a variety of reasons including thyroid and other systemic diseases, alopecia areata, burns, tattoos, infections, repeated plucking, congenital inability to grow eyebrows and a genetic tendency for eyebrows to thin, or disappear, over time.

Eyebrow restoration is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. However, because eyebrows have their own unique attributes, eyebrow transplants differ from hair transplants in a number of important ways.

Eyebrow Anatomy and Physiology The direction of eyebrow hair changes dramatically in different parts of the brow. In the region of the eyebrow nearest the nose, the hair points upward. The hair across the top of the eyebrow points outward and downward.

The hair in the lower part of the brow grows outward and upward. This criss-cross growth pattern causes the hairs in the middle of the eyebrows to converge and form a subtle natural elevation running horizontally through the middle of each eyebrow.

The second distinctive characteristic of eyebrow hair is that the hairs emerge from the follicle at a very acute angle so that the hair grows flat to the skin’s surface. This is in contrast to scalp hair where the angle between the hair and scalp can be 45 degrees.

The third important feature of the eyebrows is that the hairs grow as individual strands, rather than in the 1- to 4-hair follicular unit grouping that are characteristic of scalp hair.

The fourth distinctive element of eyebrow hair is that the hair growth cycle is very short. This means that eyebrow hair will grow (in anagen) only for about 4 months before it enters the resting (telogen) phase and falls out.

In contrast, scalp hair has a growth phase that can last 3 to 7 years, enabling the scalp hair to grow much longer.

Eyebrow Transplant Technique

The most important aspect of transplanting eyebrows is to follow the natural hair direction very closely. This entails very subtle angle changes to recreate the fan-like splay of hair at the medial aspect of the brow and the converging hair direction as one moves laterally along the brow. Most importantly, the recipient sites for the hairs should be made with a very fine-gauge needle that literally slides along the surface of the skin as the sites are being made, as this will insure that the hair will lie as flat as possible on the surface of the skin as it grows.

Another important part of eyebrow restoration is that only individual hair follicles can be used. Since the scalp naturally consists of 1 to 4-hair follicular units, hair taken from this area must be divided up into 1-hair grafts using a stereo-microscope. Technically speaking then, an eyebrow transplant is not really Follicular Unit Transplantation, but rather an ultra-refined form of micrografting.

Single hair micrografts, placed into recipient sites that have been created at very acute angles to the skin surface, require a considerable about of skill and experience. In addition, when the patient’s hair is waved or curly, it is particularly important to rotate the hair so that curve of the hair shaft follows the natural curve of the eyebrow.

Four tips for transplanting eyebrows: 1.

Use single-hairs in the transplant, not grafts of multiple hairs 2.

Hairs should be rotated to follow the natural curve of the brow 3..

The transplanted hair must be planted to lie as flat to the skin surface as possible 4..

The transplanted grafts should account for changes in the natural direction of the hair in different parts of the eyebrow, with the upper hairs of the eyebrow pointing out and slightly downward and the lower ones pointing out and slightly upward, creating an interlocking ridge that gives eyebrows their fullness Cosmetic Results of an Eyebrow Transplant Although eyebrow hair transplantation is a safe and cosmetically elegant procedure, there are a number of

things to consider before undergoing this type of hair restoration. As with hair transplants to the scalp, the hair transplanted to eyebrows will continue to grow and must therefore be periodically cut. Besides being a minor nuisance, trimming the hair leaves a cut-end that is not as delicate as the fine-tipped end of an untouched hair.

In the process of healing, all wounds contract. As the recipient sites contract, they may slightly change their flat orientation and sometimes result in eyebrow hair that is slightly more elevated than one would like.

In contrast to hair transplants, where the donor hair is taken from another part of the scalp and matches perfectly, with eyebrow transplants the hair is taken from a part of the body other than the eyebrows and will thus have slightly different characteristics with regard to both growth rate and appearance. If they are different, then over time, the transplanted scalp hair will slowly begin to approximate the growth pattern and characteristics of the existing eyebrow hair – but it may never totally match it.

The appearance of an eyebrow transplant will mature over the course of a year. At that time, an additional eyebrow hair transplant procedure may be considered. During this interval, the eyebrow can be tweezed and shaped as needed.

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Mr. Syed Waqar Procedure: I.F.I Session: One Grafts: 3,482 Result Picture After 13 Months

Mr. Muhammad Khalid Procedure: F.U.E Grafts : 2,754 Session: One Result Picture After 15 Months

Mr. Irfan Bashir Procedure: I.F.I -1st SESSION Grafts: 2,870 Procedure: I.F.I -2nd SESSION Grafts: 1,721 Result Picture After 12 Months( 2nd Session)

Mr. Raimund Brain 1st Session Done in U.S.A but Failed 2nd Session done my Dr. Rana Irfan at Vagus Procedure: F.U.E Grafts: 4,238 Result Picture After 14 Months

Mr. Waqas Tanoli Procedure: F.U.E Grafts: 3,312 Result Picture After 15 Months

Mr. Shafique Malik Procedure: I.F.I Session: One Grafts: 4196 Result Picture After 18 Months

Mr. Saad Ullah Procedure: F.U.E Session: One Grafts: 3,144 Result Picture After 12 Months

Mr. Abdul Mannan Procedure: I.F.I -1st SESSION Grafts: 2,316 Procedure: I.F.I -2nd SESSION Grafts: 1,840 Result Picture After 12 Months( 2nd Session)

Mr. Tariq Mehmood Malik Procedure: I.F.I -1st SESSION Grafts: 3,280 Procedure: F.U.E -2nd SESSION Grafts: 2,158 Result Picture After 11 Months( 2nd Session)

Mr. Rana Ikram Procedure: F.U.T -1st SESSION Grafts: 2,156 Procedure: I.F.I -2nd SESSION Grafts: 3,365 Result Picture After 14 Months (2nd Session)

Mr. Junaid Shah Procedure: F.U.E Grafts : 2,030 Session: One Result Picture After 16 Months

Mr.Imran Qureshi Procedure: F.U.T Grafts : 3,386 Session: One Result Picture After 11 Months

Mr. Muhammad Khalid Procedure: F.U.E Grafts : 3,386 Session: One Result Picture After 11 Months

Mr. Mureed Hussain Shah Procedure: F.U.E Grafts : 2,678 Session: One Result Picture After 17 Months

Mr. Nishat Akhtat Procedure: F.U.E Grafts : 3,162 Session: One Result Picture After 16 Months

Mr. Mohammad Nabi Procedure: F.U.E Grafts: 2,811 Result Picture After 12 Months

Mr. Naveed Ahmad Procedure: F.U.T -1st SESSION Grafts: 3,655 Result Picture After 16 Months

Mr. Naveed Ahmad Procedure: I.F.I -1st SESSION Grafts: 6,132 Result Picture After 13 Months

Mr. Musadiq Butt Procedure: F.U.E Session: One Grafts: 3,140 Result Picture After 18 Months

Mr. Rana Sultan Procedure: I.F.I Session: One Grafts: 3,698 Result Picture After 14 Months

Mr. Zahid Mehmood Procedure: I.F.I Grafts: 4,299 Result Picture After 131/2 Months

Mr. Tariq Procedure: I.F.I Grafts: 4,832 Result Picture After 14 Months

Mr. Zulfiqar Ali Procedure: F.U.E Grafts: 2,811 Result Picture After 12 Months

Tummy Tuck Abdominoplasty

Tummy tuck termed as Abdominoplasty, is the surgery that performed to remove the sagging flabby skin or fats from the abdominal area. In general, the abdominal fats are resistant to exercise or diet techniques; which creates a flabby stomach that can easily be removed from the minor tummy tuck surgery. The procedure is ideal to rejuvenate and contour the stomach, which brings the taut and fit shape. This surgery is essential in tightening the stomach muscles which loosen over time or the skin that’s losing the elasticity.

Multiple pregnancy, aging, heavy weight loss or the obesity; in any of the above mentioned conditions, a person can accumulate heavy abdominal; which can be reestablished the weakened separate muscles to conjure a firm, proportional stomach with the rest of the body.

Tummy Tuck Procedure The procedure is performed under general or spinal anesthesia. Mostly in this surgery the surgeon makes two incisions; first incision is made above the pubic area from hipbone to hipbone; the second is made to separate the navel from their surrounding tissue. The surgeon separates the skin from the abdominal wall to the ribs, after the incision. Then the skin was lifted in the upward direction which reveals the vertical muscle of the abdomen. The surgeon then removes the fats, extra skin and the muscles are also put together by stitches or suture which contour the abdominal shape. The procedure approximately takes 3 -4 hours and the surgery gives a scar; but in most cases the scars are invisible. However, the scar formation depends on the skin nature.

Pre- operative instruction for Tummy Tuck Surgery Patients:

First and foremost arrange a consultation with the surgeon , because communication can provide you the better understanding of the surgery and the outcome of surgery can be discussed.

A complete medical history and information regarding previous and present future medical conditions.

Be prepared that the surgeon will examine abdomen, the skin presence in the abdominal area, the fats location and amount and the underlying muscle condition.

Prior 6 weeks from the surgery; you need to quit smoking. However, in chain smoker’s cases, the quantity of the smoking on the daily basis can be slowed down rather than quitting completely.The nicotine usage slows down the healing process and increase the chance of complication.

The surgeon will illustrate you that what type of medication and supplements; you can continue to consume or what to stop.

Pre- operative instruction for Tummy Tuck Surgery Patients:

The patient must have some attendentant; who can drive the patient home safely.

The procedure requires rest, so get plenty of it.

Follow the diet plan that your surgeon prescribed to you, which is enriched with fluids and fresh fruits that fights constipation.

Take medications that are prescribed by the surgeon. Don’t take aspirin or any other type of medications without the approval of the surgeon.

Make sure the incision remains clean and dry; to avoid infections.

In order to avoid pulling of incision; place your head elevated and also used pillows under the knees for comfort.

The incision cause temporary pain, soreness, or numbness in the incision. First few days you will feel the discomfort.

You have to wear a compression garment for 6-7 weeks throughout the day.

Nose Reshaping

Rhinoplasty

Nose is the central feature of the face, the shape makes some people conscious because the bridge and tip of the nose is not appropriate; the nose seems big, small, thick and thin and the framework or structure of the nose is asymmetrical in accordance with other facial features. The nose is the only organ which enhance other facial feature appearance.

Nose reshaping surgery is one the plastic surgery that is highly practiced; in order to increase the beauty and to make it symmetry to the face. From this surgery the size of the nose can be increased or decreased.

The tip and bridge of the nose can be changed and also the angle that exists between the nose and the upper lips can be changed as well.

RHINOPLASTY SURGERY TECHNIQUES:

Rhinoplasty surgery involves; reduction, augmentation or refinement of the nose in order to provide patients the symmetry and proportioned nose required and desired by the patients.

Commonly practiced producers is the reduction Rhinoplasty surgery in which the width of the nose get commence by the nasal hump removal that involves re-breaking of the nose.

Furthermore, the nose tip seems asymmetrical and doesn’t contain proportioned framework which requires refinement to improve the shape. The augmentation Rhinoplasty is done by extracting tissue from another part of the patient’s body, i.e. might be the skin or cartilage harvest of the ear or the rib.

Moreover the synthetic material such as gortex, silastic are also used in augmentation Rhinoplasty but mostly surgeon avoids such material using methods; because this increases the risk of complication and infections.

The surgical intervention or approaches involved in the Rhinoplasty surgery is intranasal, simply means that the surgery done through the path of the nostrils or external, means that a very small incision is given in the underside of the nose. The approaches taken by the surgeon depends on the surgeon choice and the result they want to accumulate from the surgery.

LOOK INTO THE SURGERY DETAILS:

The first and foremost the photograph of the patients needs to be taken in order to maintain the record that how your nose look like before the surgery from which a surgeon properly planned the surgery and the post surgery photograph of the nose serves an anecdote that how much change has come to the nose after the surgery. Rhinoplasty is the procedure that performed when the patients is under the sleep(general anesthesia). The surgeon makes an incision inside the nose. Sometimes, it becomes necessary for the surgeon to make a small cut in the nose between the area of the nostrils and on the nostril base. From the nose, in the gentle manner the skin is lifted upward; which leaves the nose bone and cartilage underneath. In the nasal bone the hairline fracture has been made which allows the surgeon to make certain changes that reshaped the nose shape. The surgeon will remove the pieces of bone or the cartilage are removed to smooth out bumps and dips. However, an added cartilage can be added to make it symmetrical and proportioned with the rest of the face.

Laser Treatment Laser literal meaning- intense beam of light by stimulated emission of radiation.

The laser light is special kind of light which is aggravated to specific wave length to treat many skin related problems and used in surgery as well. Laser light is intense in nature which provide a huge chance to treat the patient specifically and precisely. The laser accounts a powerful beam from which a small area can be focused specifically. Usually the light is used to remove or treat the blood vessels and tissue; which minimized the damaging of surrounding tissue. Lasers are of many types; which has different use and colors accordingly. From the laser treatment; a patient is subjected to less pain, scarring and fast optimum result in contrast to traditional surgery method.

LASER HAIR REMOVAL:

Laser hair removal is one of the most common cosmetic procedure which is done to remove unwanted hair. In this procedure the high beam of concentrated light is used to remove the hair. The light deeply penetrates in the hair follicle; which absorb the pigment of the hair follicle that ultimately destroy the hair present in the hair follicle which diminish the hair growth. The procedure is effective when the patient have dark hair and light skin. However, the new advance technology and innovation has made the procedure effective to all other skin tone as well. It depends on the hair growth and density that how many series of treatment a patient is required to remove the unwanted hair. Some individuals experience long term hair removal and some requires maintenance overtimes to carry out the procedure effect. It is impossible for the doctor to determine in advance; the series of treatment and how long the result will come, because the skin and hair condition is different in every patient; so as the procedure demands and outcome.

LASER SKIN TIGHTENING:

Laser skin tightening is not an invasive procedure which utilizes infrared spectrum source which tights the skin. The infrared light heats the collagen exist underneath the skin surface through the bulk heating. From the bulk heating the collagen gets deanautration that ultimately results in new collagen formation. The procedure maximally takes 45 minutes. This procedure is really good for the saggy; loose jowls and sagging in the neck. For skin tightening radio frequency has been used for a long time; which takes a quarter of the down time taken by the surgery to do skin tightening. The Tripollar Apollo machine is the machine used radio frequency that goes deep in the skin and remove laxity. This machine is very effective in reducing the appearance of the fat, double chin and wrinkles. This procedure doesn’t have nay side effect and the patient doesn’t have to endure any pain at all in this procedure.

LASER SKIN REJUVNETATION:

Rejuvenation literal meaning is restoring a youthful appearance.

In Laser Skin rejuvenation the doctor removes the surface area where the skin is damaged or wrinkle; layer by layer. The skin rejuvenation can be done on the entire face or any specific area. In Vagus the skin rejuvenation is practiced from two standard ways:

HYRDAFACIAL:

Hydra facial is a non invasive procedure which consists of multi-step treatment. The hydrafacial is performed using a vacuum based; which has various serums that treats different skin problem. In this procedure the skin is bathed out with deep cleansing, exfoliating and antioxidant supply to the skin. The hydrfacial worked deeply that cleanse the skin in one quick treatment and deliver instant results without causing any irritation or burn.

PRP

PRP –platelet rich plasma is the procedure in which plasma is extracted out from your own blood. Firstly, your blood is taken which spun down into the centrifuge to separate each components exist in the blood. After that; red blood cells and plasma are taken out.

Eyelid Surgery

Blepharoplasty

Blepharplasty or Eyelid Surgery The eyes are the critical features which commonly remain a focal point during conversation and communications. The eyes are the first thing that anyone notices about you and also a prominent feature of your beauty and personality. As we proceed towards aging; the skin loses the elasticity and makes the eyelid look dropped and sagging. The Blepharoplasty commonly known as eyelid surgery improves those saggy; dropped eyelids by removing the bags under the eye; which makes you look tired, sad and unattractive. The dropped eyelid hauls the aesthetic appearance of the face. Eyelid surgery has done for cosmetic reasons or sometimes due to the reason that the dropped eyelid or puffy bags impaired the eye’s vision.

Noticeably this procedure removes the puffy bags around the eyes whether it is on the upper side or the lower side. It should be clear that the Blepharoplasty procedure doesn’t alter the dark circle and wrinkles lying around the eyes and not the sagging eyebrows as well. However, the procedure can be performed alone, but for the better result your surgeon can recommend another procedure such as brow lift and skin resurfacing surgery to enhance the beauty.

Understanding the surgery Upper Blepharoplasty In the upper eyelid surgery the surgeon first creates the lines and creases of the lids to hide the visibility of the scars in the natural eyelid folds as much as possible. Afterwards, the surgeon from the incision removes the sagging fat and skin or repositioned to increase the elasticity of the skin that drapes by the excessive skin which makes the eyelid dropped. The surgeon in the incised area applied the shutter to close the incision area by extreme care to minimize the chances of visible scars.

Lower Blepharoplasty In the lower Blepharoplasty; the surgeon first marked the lines and creases along the lash lines and smile crease of the lower lids to hide the visibility of the scars in the natural folds of the eyelids as possible. Afterwards the surgeon from the incision trimmed the sagging fat and skin or or repositioned it to increase the elasticity of the skin which then are enclosed with fine sutures. Usually the sutures applied in this procedure are self dissolving which leaves no visible scars.

Cosmetic result of Blepharoplasty Afterwards the surgery the surgeon will apply tiny sterile bandages on the incision area. A certain degree of swelling and bruising in normal. The surgeon in order to prevent the dryness in the eye area recommends an ointment. Usually patients feel itching, dryness and sticky in the eyes for that they need to clean the eyes for half a week or maximum for a week. If the permanent stitches are applied; then it will get removed after 3 to 5 days of surgery. Although the self absorbing stitches will get self absorbed itself. This surgery involved no serious risks if the surgery is performed by an experienced surgeon.

After

Before

Male Breast Reduction

Gynecomastia

Gynecomastia is enlargement of the glandular tissue of the male breast. In simple words, it is the growth of the breast tissue; which makes it appear big and large. True gynecomastia resulted from the growth of the glandular or breast tissue, an extensive amount of the male population is not affected with this condition, only few of them has to deal with gynecomastia. During infancy, puberty and in middle- aged to older men, gynecomastia can be common. Gynecomastia must be distinguished from pseudogynecomastia, which refers to the presence of fat deposits under and around the male breast nipple ; this condition usually occurred particularly in those men which are dealing with obesity.

GYNECOMASTIA PROCEDURE

In gynecomastia surgery patient is subjected to anesthesia whether it is general or sedative. The surgeon will recommend the best option according to your condition and procedure pattern.

TREATING GYNECOMASTIA WITH LIPOSUCTION Nowadays cosmetic surgeons used liposuction for treating gynecomastia. In this procedure the surgeon will makes 3-4 mm incision in the breast in which a cannula; a thin hollow tube is inserted into the incised area. The cannula, then move back and forth to maintain the motion in the specific area and to loose the excess fats; which in the end taken out from the breast through the vacuum suction. In case of excess glandular tissue, which become the reason for breast enlargement; then the surgeon requires to cut out the fats with an instrument scalpel. In this type of excision there are chances that the patient will get scar around the nipple edge. This type of excision can be performed independently by the surgeon or it can be get along with liposuction. If the breast enlargement requires a massive removal; the through liposuction a significant amount of tissue and skin requires large reduction; which obviously requires a big incision that leaves scars. The approximate time for this type of surgery when inserted with general anesthesia or local anesthesia; which takes approximately 90 minutes to complete.

SURGICAL INTERVENTIONS: In the surgical intervention for the reduction of the male breast; in Vagus cosmetic two incised techniques are used depends on the patient’s breast condition and from which option the best optimal results can be taken out.

The whole procedure remains same in surgical intervention in which a crescent incision is made from which fats and excess skin are removed then it’s used stitches or suture to enclose the area that’s give natural looks to your body. The only difference in both procedures of the surgical intervention is the incision pattern which varies depending on the conditions; the rest of the procedure remains same.

1) Incision Around Areola In this surgical intervention the crescent incision is made under the lower edge of the areola from which excess fats and skin are removed to reduce the breast enlargement.

2) Under Breast Mass In this surgical intervention a crescent incision is under the main breast tissue crease from which excess fats and skin are removed to reduce the breast enlargement.

Before

After

Breast Reshaping

Mammoplasty

Mammoplasty is the name that’s is given to breast reshaping surgery. The women breast with the passage of time loses its firmness and youthful shape. The inappropriate breast appearance sometime are natural and hereditary, but sometimes the changes come with weight fluctuation or in the puberty period.

However, the motherhood which involves pregnancy and breast feeding are the main cause of generating asymmetrical changes in the size and shape of the breast. The Mammoplasty is done for many adverse reasons such is to remove the sagging fats; for the enhancement of the breast. In simple words, Mammoplasty is done to contour the size and shape of the breast, which seems inadequate and doesn’t acquire the correct proportion which compliments their body figure. The breast reshaping surgery is done for both reason; cosmetics and health factors. The breast reshaping surgery is adequate to provide the patient’s proportioned body which enhances their appearance and give a complimentary figure.

The breast reshaping surgery (mammoplasty) is of two types: • BREAST REDUCTION (REDUCTION MAMMOPLASTY) Breast Reduction surgery; termed as reduction mammoplasty. In this procedure the surgeon removes the fat, tissue and some skin to recover the breast optimum shape and to overcome the size of the breast.

From this surgery the areola (dark skin area around the nipple) can also make smaller. First and foremost the patient is subjected to general or local anesthesia depends on the reductions. Then the surgeon usually makes one incision in the breast area from which excess tissue, fats and skin are taken out. Afterwards, the area gets closed with the stitches or suture. In some cases, the nipples and areola are also getting repositioned. Usually the procedure takes 3 to 5 hours. Breast lift termed as Mastopexy; is similar to breast reduction, except sometimes only skin is removed from it. This surgery serves to raise the sagging or dropped breast; which turns the large, heavy breast and can elevate the nipple and areola.

BREAST AUGMENTATION (AUGMENTATION MAMMOPLASTY) Breast augmentation termed as augmentation mammaplasty surgery; is typically done to increase the breast size and to restore the volume of the breast; which might have lost due to pregnancy or weight loss. The surgery increases the fullness and size. In the surgery of the breast implant two methods are used, one which is silicon filled implants. The surgeon creates an incision in the area under the arms, breast or surrounding the areola. The silicon filled implants are placed in the incised area to improve the size and shape of the breast.

The second method is fat injection, which removes the sagging fat from other parts of the body and then the finest fat is injected in the breast tissue to enhance the size.

Beard Transplant Beard hair transplant is a surgical procedure to transplant hair in facial region which has not enough density and fullness by taking the hairs out from the scalp. Normally it is done to improve the volumes in the hair which lacks thickness. Facial surgery has highly been practiced by men who has an encounter with the poor hair growth, patches or any facial scars. Beard hair transplant is the most popular method which is performed at the goatee, mustache, beard, and at cheeks to increase the hairs.

The facial hair can be loss due to any reason; it can occur due to the laser hair, surgeries, burns or any kind of injury and it can be hereditary. The reasons vary; but the transplant goal is to provide thickness in the goatee or beard or to provide thickness in the area where the hair restoration required. The thin hairs and no hair problems can also be cured by this surgery.

PROCEDURE OF BEARD HAIR TRANSPLANT

The procedure is very similar to the scalp hair transplant. It is performed under local anesthesia. The hair surgery doesn’t take much time; roughly it takes 2 to 5 hours depends on the area need to cover. Beard hair transplant in Pakistan is done with both methods of hair transplant whether it is traditional strip method FUT or modern method FUE. Both the techniques are best; but precisely your surgeon will give you a good idea that which method is going to work best for you. The hairs transplanted in the face are taken out from the back or side of the head. Usually the site is selected by considering the texture of the hairs; surgeon tries to make the resemblance factor of hairs high, to give a more natural look. The transplanted hairs are permanent; and it is difficult to tell which the original hairs are and which are transplanted one. These hairs after hair transplant grows naturally and even they can be shaved off depends on what you want to do with the hairs.

BEARD HAIR TRANSPLANT HAIR GROWTH RESULTS

In this hair transplant the hair growth is just like normal hair growth on your face. The transplanted hair texture can be altered; the way you do with the original hairs to revive the look depends on your choice. To give the transplanted hair an original look, an experienced surgeon is required who has careful to select the donor area and have the quality to harvest the hair follicle in the correct direction and angle to established symmetry in the original and transplanted hairs.

The hairs are considered in man as a symbol of masculinity. The patchy breads and less hair growth in the goths are frustrating for men. The facial hair transplant is becoming really common; every Hollywood personality, business man, sports personality and even a common person are turning toward beard transplant to revive the masculinity and to get the strong macho look. According to a survey report the beard hair transplant surgery has gained importance and the procedure demand is increased to 6% in the past years. If you are one of the follow who are thinking about the beard hair transplant surgery, visit our clinic Vagus cosmetics in Islamabad; the instruments we used in the surgery are imported from abroad and the weather of Pakistan is highly suitable because in this weather there are least chances of infection and allergies; we provide the quality but in cheap prices.

Dermal Fillers & Botox As we grow old, our face loses the skin and subcutaneous fats; which introduce wrinkle or sagging; makes the face appear thin fats, which is the biggest issue of all. Cosmetic surgery has invoked a new way which replenishes the aging line, wrinkles and revive the volume of the face. The dermal filler injecting techniques is the most popular which takes some minutes and revive the youthful volume of the face and plump out the lines as well.

DERMAL FILLERS:

Injectable fillers are the clear gel; purpose to serve as soft tissue filler which directly injected in the facial skin. The dermal fillers are injected into the face to maximize the volume and to correct the creases, folds and scars which gives a smoother facial appearance. These fillers serves to increase the hydration in the skin, particularly in the face, skin and hands. From this injection the moderate line occurs from the mouth to the chin and the nose to the lips corner can also be softened up. The cheeks and chin can also be remodelled and get enhanced. Sometimes you need more than one injection to attain the best results. Fillers procedure is fast and easy. The use of tiny injection in the particular area provides visible result instantly.

BOTOX:

Botox is a cosmetic surgery procedure which is often used to smoothen up the forehead lines, lines around eyes, frown lines and wrinkles. The Botox procedure takes only a few minutes. The injections of Botox weaken or paralyze the muscle, which cause contraction; the reason behind the wrinkles and lines that appears at face. In this procedure no anesthesia is required. A fine needle injection is injected in the particular muscle where smoothness is desired. This procedure causes only minor discomfort and it’s fast. After the procedure; it takes three to seven days to show the results. Prior to two weeks before the procedure;it is advised by the doctor to avoid aspirin and all kinds of anti inflammatory medications because this type of medication support bruising.

Liposuction

Remove Your extra fat through Liposuction

Liposuction is the technique that’s has been practiced all over the world to remove the excess and sagging fat deposit in body parts. It’s the common procedure done for the improvement of aesthetic needs. The deposit body fats which are resistant to any adequate techniques such as exercise and dieting are removed through the suction, Liposuction technique. Liposuction is commonly done in the body areas such as hips, buttocks, thighs, tummy, waist and chin.

Liposuction Procedure The liposuction basic purpose is to remove the fats and improves the cellulite of the body which contours the body shaped. The patients firstly subjected to anesthesia, local or general depends on surgeon choice and patient health condition. The anesthesia is suffixed to minimize the bleeding and trauma of the liposuction procedure. The surgeon makes an incision, in which the hollow tube or cannula is inserted. Usually the hole is less than ¼ inch in diameter, which in contrast, is less than the thickness of the normal pencil.

The hollow tube is moved back and forth to loosen the fats and muscles. The hollow tube is connected to the vacuum which sucks the fats from the incised area. The procedure doesn’t involve huge cuts, only a hollow tube insertion cut; which makes the tiny dots like scars which are not easily visible even on closer inspection of the treated area. In one session approximately 2 to 6 inches of fats are removed safely. The liposuction is an effective technique to bring the body shape back. After the suction of the fats, the body needs time to heal and to overcome swelling.

PRE- OPERATIVE INSTRUCTION FOR LIPOSUCTION SURGERY PATIENTS:

INSTRUCTION NEEDS TO FOLLOW BEFORE 1 MONTH: Discuss in detail your health issues; if any; with the doctor. The patients must tell the medication that they are taking on as daily basis to control the diseases such as Tablets for blood pressure control or Diabetes, so that the surgeon will guide you accordingly about the medication intake for the healthy future liposuction surgery. Any vitamins and supplements you are undertake needs to stop before the procedure.

INSTRUCTION NEEDS TO FOLLOW BEFORE 1 WEEK: The doctor is going to enlist you some test such as blood test and heart evaluation; which are necessary before the surgery. The test result is essential for the surgeon and needs to be seen before the one week. It is necessary for the surgeon to see the result report of the patients; to analyze the health of the patients and to reduce every chance that can adhere complications and risk in the liposuction surgery.

INSTRUCTION NEEDS TO FOLLOW BEFORE 1 DAY: The doctor will ask you to avoid some food and beverages for a certain time period, and the patient has to stop taking those foods listed by the doctors.

You need to pack the bags accompanied with loose and comfortable clothes.

INSTRUCTION NEEDS TO FOLLOW ON THE DAY OF SURGERY: Take the usual bath on the day of surgery just avoid any body lotions and cream applications after the bath.

Post-operative instruction for liposuction Surgery Patients:

INSTRUCTION NEEDS TO FOLLOW AFTER 1 DAY After the surgery when 48 hours passed; the patient will experience swelling, numbness, soreness, pain, bruise and swelling which is very normal; so don’t worry about it.

INSTRUCTIONS NEED TO FOLLOW AFTER 1 WEEK After 8 to 10 days the bruise gets removed, but it is totally depends on the patient’s body healing capacity. After the week the stitches also get removed.

INSTRUCTION NEEDS TO FOLLOW AFTER 1 MONTH Mostly after 1 month of the surgery; the body swelling will totally end and the patients can easily understand the result after the surgery.

Eyelash Hair Transplant

Eyelash are one of the prominent things that assembled our eyes beauty. No matter how thick long tiny thin eyelashes you have, it creates the huge difference in the eye frame and attractiveness. The sparse, short and weak eyelashes can be treated by eyelash hair transplant.

The eyelash transplant can be done due to many reasons; it can happen due to trauma, hair pulling, due to the eyelashes extension usage and may be you have thin lashes naturally or simply you want to have big eyelashes; so this transplant is done to revoke the eyelashes thickness.

PROCEDURE

Eyelash transplant is a safe procedure. The eyelash hair transplant is done in Pakistan with both methods; whether it is FUE or FUT, the hair transplant surgeon would recommend the best method for you after analyzing the demand and requirement. The procedure is similar to the scalp hair transplant in which hairs are taken out from the donor area and placed in the required area. It is normally done in oral sedative; the required time for this procedure can be maximum two hours. Typically in one session 25 to 50 hairs can be transplanted in each eyelid. The main thing a patient need to understand while having the surgery that after eyelash transplant the curled has to be done manually to retrieve the sloping curve of natural eyelash hairs.

EYELASH HAIR TRANSPLANT GROWTH RESULTS:

Eyelash hair transplant surgery in Pakistan is performed by very few surgeons. The hair that’s has been taken out from the donor area should be fine for eyelash hair transplant. Mostly surgeon place six hair per lid to create a natural effect. The hair transplanted sometimes cannot give the hair growth in the ideal direction, to revive the original look these hairs can be trimmed short but it happened in very few cases.

Mostly if the surgeon has experienced; he knows how to harvest the hairs to and what eyelash training is required to attain the normal eyelash direction.

Eyelashes has the dominant role in protecting the eyes from dust and objects that want to enter into the eyes. Thick eyelashes give the eye a beauty. Imagine a person who has lack of hair in eyelashes or don’t have any hair in eyebrows, it looks abnormal though because eyelash is the normal facial things. The appearance can hinder due to the hair loss in eyelashes and it affects the self confidence of many, but don’t need to worry because the eyelash hair transplant surgery gives you a choice to revitalize the eyelash beauty. The surgery is done in our clinic at Vagus Cosmetics at cheap rates without compromising the quality. The instruments used in the procedure are sterilized and import from abroad. The weather of Pakistan also resume the chances of surgery, allergies and infection, so if you are thinking to get eyelash hair transplant surgery; go for it without having a second thought.

PAKISTAN

27-Kaghan Road, F-8/3, Islamabad, Pakistan.

Tel: +92 51 2287661-2

UNITED KINGDOM

Birmingham, Leeds, Bradford, London.

Tel: +44 7845302120, +44 7719932115

USA

Manhattan Newyork, United States.

UAE

Jumeirah Beach Residence, Jumeirah III, Dubai UAE.

+92 332 5017478

@RanaIrfanDr

SurgeonRanaIrfan

www.drranairfan.com | www.vaguscosmetics.com